Organization
ADVANCED THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS KEELING (PARTNER)
(573) 785-3966
Entity
Organization
Contact information
Practice address
2702 DEBBIE LN, POPLAR BLUFF, MO 63901-2650
(573) 785-3966
(573) 785-3966
Mailing address
1901 N WESTWOOD BLVD, PRIVATE BOX 113, POPLAR BLUFF, MO 63901-2800
(573) 785-3966
(573) 785-3966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2003020136
MO
225X00000X
Occupational Therapist
003419
MO
235Z00000X
Speech-Language Pathologist
100740
MO
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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