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Individual

KEEGAN PARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1615 MIDWAY DR, AMMON, ID 83406-6799
(208) 529-1715
Mailing address
3940 N MCKIBBEN LN, IONA, ID 83427-7721
(208) 529-1715

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT-5203
ID

Other

Enumeration date
05/11/2017
Last updated
12/12/2024
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