Clovis, Keenan

Clovis, Keenan is an sole proprietor health care provider with primary practice located at E.12707 Masfield Ave Apt# B301 , Spokane Valley WA 99216. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Clovis, Keenan can be contacted via phone (409) 499-2240.

Contact Information

Primary practice address
E.12707 Masfield Ave Apt# B301 Spokane Valley WA 99216
Phone: (409) 499-2240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P1 60234082 Washington

Profile Details

NPI number 1063834703
LBN Legal business name Clovis, Keenan
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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