Most Relevant Information
Provider Data
| NPI Number: | 1003490525 |
| Provider Name: | KEELYMAE J REGAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT61179361 |
Most Important Dates
| Enumeration Date: | 05/11/2021 |
| Last Updated: | 12/18/2023 |
Provider Practice Location
1500 CONTINENTAL PL
MOUNT VERNON
WA
982734105
Practice Location Phone/Fax
| Phone: | 3604247041 |
| Fax: | 3604242456 |
Provider Mailing Location
1401 S LAVENTURE RD
MOUNT VERNON
WA
982746033
Provider Mailing Phone/Fax
| Phone: | 3604247041 |
| Fax: | 3604242418 |