Individual
KEATON M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
555 CORNHUSKER RD STE 207, BELLEVUE, NE 68005-7918
(402) 614-4300
Mailing address
PO BOX 34669, OMAHA, NE 68134-0669
(402) 932-6791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4342
NE
225100000X
Physical Therapist
PT030476
PA
Other
Enumeration date
07/19/2022
Last updated
09/18/2023
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