Individual
KRISTINA KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1419 N 6TH ST, ATCHISON, KS 66002-1244
(913) 351-3536
Mailing address
120 MEADOW LN, LANSING, KS 66043-1266
(913) 351-3536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01090
KS
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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