Doctor Name: | KEITH ALAN DAVIS |
NPI Number: | 1902130172 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 110258 |
Business Practice Address: | 200 South St Paris, MO - 652751165 |
Business Phone Number: | 6603274125 |
Business Fax Number: | 6603271024 |
Mailing Address: | 10206 Audrain Road 997, CENTRALIA |
State: | MO |
Postal Code: | 652406354 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/22/2009 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 110258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |