Individual
MS. JENNY M KEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1200 N BEAVER, NORTHERN ARIZONA HEALTHCARE, FLAGSTAFF, AZ 86001
(928) 779-3360
Mailing address
3115 W TINA LANE, FLAGSTAFF, AZ 86001
(928) 774-8297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2917
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2917
AZ PHYS THERAPY ASSN
AZ
Enumeration date
05/30/2007
Last updated
07/08/2007
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