| NPI | 1497808109 |
|---|---|
| Former Name | AMANDA J KEAYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05012833A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-016207) |
| 225100000X Physical Therapist (Licence: WI 10757) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-09-21 |