Individual
KEITH WAYNE WRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1720 CENTRAL AVE E, HAMPTON, IA 50441-1869
(641) 456-5034
(641) 456-5801
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
(515) 382-1576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004975
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004975
PT LICENSE
IA
Enumeration date
04/17/2013
Last updated
04/17/2013
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