Keith Staley, OT

NPI #1811318983 in Clive, Iowa

Provider Information

NPI Number: 1811318983
Entity Type: Individual
Name: Keith Staley, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 17, 2013
Last Updated: Oct 29, 2015

Practice Location

Address: 13375 UNIVERSITY AVE
Address 2: SUITE 300
City: Clive
State: Iowa
ZIP Code: 50325-8261
Phone: (515) 327-1454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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