Individual
JESSICA GRACE KEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-1075
Mailing address
8214 S EMERSON WAY, LITTLETON, CO 80122-4303
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014536
CO
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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