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Keith David Schroeder

Physical Therapist in Beardstown, IL. Individual provider (NPI-1).

NPI number1295541571
StatusActive
Last updated in NPPESDec 10, 2024

Details

NPI
1295541571
Entity type
Individual (NPI-1)
Name
Mr. Keith David Schroeder
Sex
Male
Sole proprietor
No
Enumeration date
Dec 10, 2024
Certification date
Dec 10, 2024
Last updated
Dec 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070011507ILYes

Practice location

400 E 4th St
Beardstown, IL 62618-1307

Phone 217-323-7006

Mailing address

400 E 4th St
Beardstown, IL 62618-1307

Phone 217-323-7006

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Other Physical Therapist providers in Beardstown, IL

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