KEITH A POORBAUGH PT

NORTHERN EDGE PHYSICAL THERAPY LLC

Dr KEITH A POORBAUGH PT is a male medical professional, specializing in Physical Therapy. He graduated in 1997 from Mayo Medical School.

Contact

NORTHERN EDGE PHYSICAL THERAPY LLC

984 N MERIDIAN PL
SUITE A
WASILLA
AK
996547215

Tel: 9076314029

KEITH A POORBAUGH PT Information

Npi 1003971037
Pac Id 1850352469
Professional Enrollment Id I20041026000587
Last Name POORBAUGH
First Name KEITH
Middle Name A
Suffix
Gender M
Credential PT
Medical School Name MAYO MEDICAL SCHOOL
Graduation Year 1997
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTHERN EDGE PHYSICAL THERAPY LLC
Group Practice Pac Id 1355587742
Number Of Group Practice Members 5
Line 1 Street Address 984 N MERIDIAN PL
Line 2 Street Address SUITE A
Marker Of Address Line 2 Suppression
City WASILLA
State AK
Zip Code 996547215
Phone Number 9076314029
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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