Individual
MR. CHASE KEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 N MERION WAY, FAYETTEVILLE, AR 72704-6493
(214) 924-1805
Mailing address
1500 N MERION WAY, FAYETTEVILLE, AR 72704-6493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
2278E1000X
Educational Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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