Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keenan Clovis, PTA

Individual provider Physical Therapy Assistant · NPI 1063834703

Keenan Clovis, PTA is a Physical Therapy Assistant in Spokane Valley, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2014
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

E.12707 Masfield Ave Apt# B301
Spokane Valley, WA 99216
Phone: (409) 499-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P1 60234082 (WA)

Record details

NPI number1063834703
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing addressE.12707 Masfield Ave Apt# B301, Spokane Valley, WA 99216

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