Individual
MR. KEITH EDWARD GREWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4316 CALEVARES DR, LEXINGTON, KY 40514-1301
(859) 224-3564
Mailing address
4316 CALEVARES DR, LEXINGTON, KY 40514-1301
(859) 224-3564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002062
KY
Other
Enumeration date
11/16/2007
Last updated
04/17/2014
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