KEITH TISDELL

Occupational Therapist

Active Individual
NPI: 1477550630

Practice Address

189 DECKER
Kyle, TX 78640

Phone: (954) 328-5436

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 113654 (FL)

Frequently Asked Questions

NPI 1477550630 is the National Provider Identifier for KEITH TISDELL, a Occupational Therapist provider located in Kyle, TX. This NPI was enumerated on July 3, 2005.
KEITH TISDELL practices at 189 DECKER, Kyle, TX 78640.

Quick Facts

NPI
1477550630
Type
Individual
Enumerated
Jul 3, 2005
Last Updated
Jan 11, 2012

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