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

MR. KEITH MARTIN LICCARDI, MPT

Active Sole Proprietor

MR. KEITH MARTIN LICCARDI, MPT is a Physical Therapy Assistant healthcare provider located in FAIRVIEW, Pennsylvania. NPI 1295040731 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FAIRVIEW, PA

Registration Details

NPI Number
1295040731
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2010 (15.992033417632 yrs)
Last Updated
Aug 9, 2010
License
PT015537 (PA)
Sole Proprietor
Yes

Practice Information

Address
890 GREENER PL
FAIRVIEW, PA, 164151567
Browse PA providers · Browse ZIP 16415
Phone
8144745521
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in FAIRVIEW, PA

Name Credential NPI
DR. STEVEN MICHAEL SCHLEICHER DPT 1447480496
MRS. JANET SUE NOLAND MPT 1255698114
STEVEN BAUER DPT 1417389412
MRS. LAURIE JACKSON HUDSON PT 1578938403
MRS. JENNIFER BLOSE DPT 1609231935
JORDAN SANFROTELLO DPT 1326599929
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.