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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FANTA KEITA, ATC

Active

FANTA KEITA, ATC is a Athletic Trainer healthcare provider located in SAYLORSBURG, Pennsylvania. NPI 1235966086 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · SAYLORSBURG, PA

Registration Details

NPI Number
1235966086
Provider Type
Individual
Gender
Female
NPI Issued
Sep 16, 2024 (1.8963591266681 yrs)
Last Updated
Sep 16, 2024

Practice Information

Address
1083 MEIXSELL VALLEY RD
SAYLORSBURG, PA, 183538024
Browse PA providers · Browse ZIP 18353
Phone
9294519380
Primary Specialty
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.