Individual
KEITH ALAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SOUTH ST, PARIS, MO 65275-1165
(660) 327-4125
(660) 327-1024
Mailing address
10206 AUDRAIN ROAD 997, CENTRALIA, MO 65240-6354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
110258
MO
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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