CHAD MARVIN KEITH

SIDNEY, OH
NPI1699279968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: OH  2000019730)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
CHAD MARVIN KEITH AT, ATC
915 MICHIGAN ST
SIDNEY, OH 45365-2401
Phone number: 937-498-5503
Mailing Address
CHAD MARVIN KEITH AT, ATC
13140 SR 47 W
QUINCY, OH 43343
Phone number: