Individual
KEATON LEE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
428 N 6TH ST, TOMAHAWK, WI 54487-1425
(877) 230-3885
Mailing address
800 NE COLLEEN DR, LEES SUMMIT, MO 64086-4916
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2017026960
MO
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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