Whalio Doctors

NPI 1356622773

Samuel David Keeton, PTA

Practitioner Physical Therapy Assistant Ripley, TN

Practice location

Address
215 Lackey Ln, Ripley, TN 38063-1619
Phone
(731) 635-5100
Mailing address
5322 Shetland Trl, Arlington, TN 38002-8366

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2824 (TN)

Registry record

NPI
1356622773
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Aug 2011
Record last updated
30 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.