| NPI | 1689153835 |
|---|---|
| Former Name | KEELY ANN MCNUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-02-22 |