Provider / Organization | NPI | Date Certified |
---|---|---|
BREE KEITH | 1245627413 | 2022-05-08 |
Bree Keith is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1245627413. Registration indicates Bree Keith is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Specialist/Technologist (Specialist/Technologist: Athletic Trainer, ) (All Other Specialties & Provider Types, ) (Specialist/Technologist Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers) (Specialist/Technologist, )
Entity Type | Individual |
Provider Name | Bree Keith MS, ATC, CES |
Other Provider Name | Bree Clayton |
Practice Office Address | 2401 HICKORY WOOD AVE LOWELL, AR US |
Practice Office Telephone | 5017320531 |
Mailing Address | 116 PIN OAK CV MAUMELLE, AR 721136804 US |
Address | City / State | Phone / Fax |
---|---|---|
116 Pin Oak Cv | Maumelle, AR 721136804 | 5017320531 |
Code | Practice | License No State |
---|---|---|
2255A2300X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Specialist/Technologist: Athletic Trainer All Other Specialties & Provider Types Specialist/Technologist Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist | 54035
AR |