Keith Boddie, PT

NPI #1396079547 in Monroe, Georgia

Provider Information

NPI Number: 1396079547
Entity Type: Individual
Name: Keith Boddie, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 21, 2009
Last Updated: Sep 21, 2009

Practice Location

Address: 148 MARTIN LUTHER KING JR BLVD
City: Monroe
State: Georgia
ZIP Code: 30655-5620
Phone: (770) 207-1137

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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