Individual
KEITH CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1717 NORFOLK AVE, LUBBOCK, TX 79416-6099
(806) 281-6117
Mailing address
1717 NORFOLK AVE, LUBBOCK, TX 79416-6099
(806) 281-6117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2101460
TX
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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