Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH KMIECZAK, MSPT
ActiveKEITH KMIECZAK, MSPT is a Physical Therapy Assistant healthcare provider located in EPHRATA, Pennsylvania. NPI 1932181542 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EPHRATA, PA
Registration Details
- NPI Number
- 1932181542
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2005 (20.696024629341 yrs)
- Last Updated
- Aug 18, 2022
- License
-
PT013342L (PA)
Practice Information
- Address
-
136 LAKE STSUITE EEPHRATA, PA, 17522Browse PA providers · Browse ZIP 17522
- Phone
- 7174665880
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in EPHRATA, PA
| Name | Credential | NPI |
|---|---|---|
| ALBERT BASCIANO | PT | 1811920044 |
| LAURA BONILLA | PT | 1992728547 |
| WILLIAM HELM | PT | 1083628606 |
| JILL AILEEN MILLARD | PT | 1295749828 |
| JAMES MCKEOWN | PT | 1407862121 |
| ANTHONY LUIS ALICEA | DPT | 1740454834 |
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.