Individual
KEITH M HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1611 RENAISSANCE BLVD, STURTEVANT, WI 53177-1741
(262) 886-2599
(262) 886-5767
Mailing address
1623 WIESE LN., RACINE, WI 53406
(262) 886-2514
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4359-024
WI
Other
Enumeration date
03/16/2007
Last updated
11/28/2016
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