Individual
KEITH MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 W. BEAVER CREEK BLVD, SUITE 204, AVON, CO 81620
(970) 949-9966
(970) 949-9988
Mailing address
PO BOX 3381, AVON, CO 81620-3381
(970) 949-9966
(970) 949-9988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3444
CO
Other
Enumeration date
11/08/2006
Last updated
12/03/2007
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