-- KEENAN CLOVIS PTA ⚕️ Washington 1063834703

NPI	1063834703
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	225200000X Physical Therapy Assistant (Licence: WA P1 60234082)
Enumeration Date	2014-01-15
Last Update Date	2014-01-15

-- KEENAN CLOVIS PTA

E.12707 MASFIELD AVE APT# B301

SPOKANE VALLEY, WA 99216

Phone number: 409-499-2240

-- KEENAN CLOVIS PTA

E.12707 MASFIELD AVE APT# B301

SPOKANE VALLEY, WA 99216

Phone number: 409-499-2240