Mccoy, Keaton Lee

Mccoy, Keaton Lee is an individual health care provider with primary practice located at 428 N 6Th St , Tomahawk WI 54487-1425. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mccoy, Keaton Lee can be contacted via phone (877) 230-3885.

Contact Information

Primary practice address
428 N 6Th St Tomahawk WI 54487-1425
Phone: (877) 230-3885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2017026960 Missouri

Profile Details

NPI number 1497270045
LBN Legal business name Mccoy, Keaton Lee
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2017
Last updated Aug 4th, 2017 - about 9 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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