Michael Keyasko, PT

NPI #1922381367 in Forest City, Pennsylvania

Provider Information

NPI Number: 1922381367
Entity Type: Individual
Name: Michael Keyasko, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 22, 2011
Last Updated: Sep 22, 2011

Practice Location

Address: 354 MAIN ST
City: Forest City
State: Pennsylvania
ZIP Code: 18421
Phone: (570) 785-2018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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