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NPI Code Detail

MEDICARE: KEYLI O'NEAL

MEDICARE:   KEYLI  O'NEAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPTH10810AL

General Provider Information

NPI Number : 1215675426
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEYLI O'NEAL
Provider Business Mailing Address
First Line : 251 JOHNSTON ST SE STE 200
Second Line :
City : DECATUR
State : AL
Zip : 35601-2515
Country : US
Telephone Number : 256-350-1764
Fax Number :
Provider Business Practice Location Address
First Line : 33 HUGHES RD
Second Line :
City : MADISON
State : AL
Zip : 35758-2238
Country : US
Telephone Number : 256-319-9327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2022
Last Update Date : 06/10/2024

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Directions to “ KEYLI O'NEAL ” Practice Location

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