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Keenan Clovis, PTA
NPI 1063834703 · on the registry since 2014 · sole proprietor
Practice
- Address
- E.12707 Masfield Ave Apt# B301
Spokane Valley, WA 99216 - Phone
- (409) 499-2240
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington