Provider Demographics
NPI:1003054669
Name:SINGH, KESHMEE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:KESHMEE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 45TH STREET
Mailing Address - Street 2:STE. 201
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321
Mailing Address - Country:US
Mailing Address - Phone:219-922-5550
Mailing Address - Fax:219-922-5555
Practice Address - Street 1:919 MAIN STREET
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311
Practice Address - Country:US
Practice Address - Phone:219-934-2405
Practice Address - Fax:219-934-2406
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05005930A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist