Boddie, Keith
Boddie, Keith is an individual health care provider with primary practice located at 148 Martin Luther King Jr Blvd , Monroe GA 30655-5620. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Boddie, Keith can be contacted via phone (770) 207-1137.Contact Information
Primary practice address
148 Martin Luther King Jr Blvd
Monroe GA 30655-5620
Phone: (770) 207-1137
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 9763 | Georgia |
Profile Details
| NPI number | 1396079547 |
|---|---|
| LBN Legal business name | Boddie, Keith |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2009 |
| Last updated | Sep 21st, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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