Individual
LEAH KEYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.A.T., A.T.C.
Contact information
Practice address
1969 W HART RD, BELOIT, WI 53511-2230
(608) 364-5011
Mailing address
2747 PARK PLACE LN, APT 31, JANESVILLE, WI 53545-5211
(920) 676-3659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1629 - 39
WI
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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