Individual
MR. H. KEITH OWSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
4050 LIGHTHOUSE DR, RACINE, WI 53402-3114
(262) 260-7857
Mailing address
5915 SANDVIEW LN, RACINE, WI 53406-1173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
07/20/2006
Last updated
07/08/2007
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