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Keith Evans

Physical Therapy Assistant in Olympia, WA. Individual provider (NPI-1).

NPI number1982804084
StatusActive
Last updated in NPPESJul 18, 2007

Details

NPI
1982804084
Entity type
Individual (NPI-1)
Name
Keith Evans
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2007
Last updated
Jul 18, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant7755ORYes

Practice location

4001 Capitol Mall Dr Sw
Olympia, WA 98502-8657

Phone 360-754-9792

Mailing address

1425 11th Ave Sw
Olympia, WA 98502-5787

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