Individual
PROF. JASON TODD KEIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1709 W PRIEN LAKE RD, SUITE B, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Mailing address
1709 W PRIEN LAKE RD, SUITE B, LAKE CHARLES, LA 70601-8360
(337) 474-5201
(337) 474-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08101
LA
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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