Bridget Keough Keough, ATC
Specialist/Technologist, Athletic Trainer in Bethlehem, PA. Individual provider (NPI-1).
NPI number1164043949
StatusActive
Last updated in NPPESMay 3, 2020
Details
- NPI
- 1164043949
- Entity type
- Individual (NPI-1)
- Name
- Bridget Keough Keough
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2020
- Certification date
- May 3, 2020
- Last updated
- May 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00234000 | NJ | Yes |
Practice location
2030 Highland AveBethlehem, PA 18020-8963
Phone 610-849-0697
Mailing address
69 Society Hill WayTinton Falls, NJ 07724-3803
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