Individual
KEITH SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT MHS SCS
Contact information
Practice address
1000 CAMERA AVE, SAINT LOUIS, MO 63126-1037
(314) 691-2696
Mailing address
1000 CAMERA AVE, SAINT LOUIS, MO 63126-1037
(314) 691-2696
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
110509
MO
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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