| Doctor Name: | JORDAN VALERIE KEEN |
| NPI Number: | 1154374924 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 2305204190 |
| Business Practice Address: | 130 Heights Ave Inverness, FL - 344524571 |
| Business Phone Number: | 3524196570 |
| Business Fax Number: | 8886392521 |
| Mailing Address: | 130 Heights Ave, INVERNESS |
| State: | FL |
| Postal Code: | 344524571 |
| Phone Number: | 3524196570 |
| Fax Number: | 8886392521 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 2305204190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |