Individual
BRYAN KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
320 W BUTLER RD, MAULDIN, SC 29662-2538
(865) 225-7300
(865) 225-7301
Mailing address
112 BRADFORD BLVD, SUITE 500, GORDONSVILLE, TN 38563-4617
(615) 683-3010
(615) 983-3016
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8497
SC
225100000X
Physical Therapist
11382
TN
Other
Enumeration date
04/06/2017
Last updated
07/14/2020
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