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

KEEGAN KIMMINAU, DPT

Active Sole Proprietor

KEEGAN KIMMINAU, DPT is a Physical Therapy Assistant healthcare provider located in VIRGINIA BEACH, Virginia. NPI 1740969856 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · VIRGINIA BEACH, VA

Registration Details

NPI Number
1740969856
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2023 (3.0822556522289 yrs)
Last Updated
Jun 24, 2024
Licenses
CP031999T (VA)
11-07283 (KS)
Sole Proprietor
Yes

Practice Information

Address
5345 MARIAN LN
VIRGINIA BEACH, VA, 234621841
Browse VA providers · Browse ZIP 23462
Phone
7574565018
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in VIRGINIA BEACH, VA

Name Credential NPI
DR. ALEX SIYUFY PT 1497742795
MS. JUDITH M ANDERSON PT 1003897406
MRS. ERIN K GERBUS PT 1366424608
MR. ROBERT CHARLES BEBA PT 1225011935
MR. ERIK HJALMAR WIJTMANS PT 1679556112
LANKHUE DINH PT 1205819828
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.