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General NPI Number Information
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NPI Number | 1427935345
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Entity Type | Organization
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Legal Business Name | KEATON PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/31/2025
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Provider Practice Location Address
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Address Line | 7530 LONGLEY LN STE 105
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City | RENO
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State | NV
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Zip | 89511-1463
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Country | US
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Telephone | 775-997-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 WYOMING CT
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City | RENO
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State | NV
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Zip | 89503-2256
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Country | US
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Telephone | 775-997-4131
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JESSIE KEAON
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Credential | DPT
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Telephone | 775-997-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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