Provider Demographics
NPI:1700087384
Name:KEEVER, MICHELLE RENEE
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:RENEE
Last Name:KEEVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3370 E JOLLY RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-8552
Mailing Address - Country:US
Mailing Address - Phone:517-272-5133
Mailing Address - Fax:517-272-5138
Practice Address - Street 1:3370 E JOLLY RD
Practice Address - Street 2:SUITE B
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8552
Practice Address - Country:US
Practice Address - Phone:517-272-5133
Practice Address - Fax:517-272-5138
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant