Individual
MR. KEITH HENRY LEIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8700
(701) 234-7961
Mailing address
111 ROBERTS ST N, UNIT 1, FARGO, ND 58102-4981
(701) 237-5591
(701) 234-7961
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
394
ND
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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