Individual
STEPHANIE KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6416 MARINA DR, PROSPECT, KY 40059-8846
(502) 777-3575
Mailing address
6416 MARINA DR, PROSPECT, KY 40059-8846
(502) 777-3575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005242
KY
Other
Enumeration date
06/26/2009
Last updated
06/26/2009
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