Individual
COREY MICHAEL KEISTER
Active
Individual
COREY MICHAEL KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208962
VA
225100000X
Physical Therapist
Primary
PT017348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305208962
VIRGINIA LICENSE
VA
Enumeration date
08/29/2014
Last updated
04/26/2018
Update your record
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