Spicer, Keely Routh

Spicer, Keely Routh is an individual health care provider with primary practice located at 3130 N Market Ave , Fayetteville AR 72703-3516. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Spicer, Keely Routh can be contacted via phone (479) 595-0599.

Contact Information

Primary practice address
3130 N Market Ave Fayetteville AR 72703-3516
Phone: (479) 595-0599
Fax: (479) 935-9875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 2767 Arkansas

Profile Details

NPI number 1720027071
LBN Legal business name Spicer, Keely Routh
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 23rd, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720027071 NPPES
Arkansas MEDICAID 156625721

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