Keck, Ashley Nicole

Keck, Ashley Nicole is an individual health care provider with primary practice located at 2811 Clearwater Ave , Bloomington IL 61704-8190. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Keck, Ashley Nicole can be contacted via phone (574) 361-9008.

Contact Information

Primary practice address

2811 Clearwater Ave Bloomington IL 61704-8190

Phone: (574) 361-9008

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer	2255A2300X	096.003425	Illinois

Profile Details

NPI number	1447642806
LBN Legal business name	Keck, Ashley Nicole
Credentials	MS, LAT, ATC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Feb 23rd, 2015
Last updated	Feb 23rd, 2015 - about 10 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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