Spicer, Keely Routh
Spicer, Keely Routh is an individual health care provider with primary practice located at 3130 N Market Ave , Fayetteville AR 72703-3516. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Spicer, Keely Routh can be contacted via phone (479) 595-0599.Contact Information
Primary practice address
3130 N Market Ave
Fayetteville AR 72703-3516
Phone: (479) 595-0599
Fax: (479) 935-9875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 2767 | Arkansas |
Profile Details
NPI number | 1720027071 |
---|---|
LBN Legal business name | Spicer, Keely Routh |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Apr 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720027071 | NPPES |
Arkansas | MEDICAID | 156625721 |
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