Provider Demographics
NPI:1447218763
Name:KEELER, CHRIS (MSPT ATC)
Entity Type:Individual
Prefix:MR
First Name:CHRIS
Middle Name:
Last Name:KEELER
Suffix:
Gender:M
Credentials:MSPT ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:RM 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:757-873-2302
Mailing Address - Fax:757-873-2306
Practice Address - Street 1:1501 MAPLE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2553
Practice Address - Country:US
Practice Address - Phone:804-550-5730
Practice Address - Fax:804-550-5733
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202634225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7026821OtherAETNA
VA010272211Medicaid
VA192969OtherBCBS PHYSICAL THERAPY
VAP00398169OtherMEDICARE RAILROAD
VA010469T54Medicare PIN
VAP00398169OtherMEDICARE RAILROAD