Paddock, Keith Louis

Paddock, Keith Louis is an individual health care provider with primary practice located at 2104 Northdale Blvd Nw , Coon Rapids MN 55433-3005. 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. Paddock, Keith Louis can be contacted via phone (763) 755-5495.

Contact Information

Primary practice address
2104 Northdale Blvd Nw Coon Rapids MN 55433-3005
Phone: (763) 755-5495
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7457 Minnesota

Profile Details

NPI number 1467421107
LBN Legal business name Paddock, Keith Louis
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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