Provider Demographics
NPI:1467576793
Name:CSK MEDICAL PARTNERS
Entity Type:Organization
Organization Name:CSK MEDICAL PARTNERS
Other - Org Name:LUBBOCK SPORTS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:O'KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:806-792-7200
Mailing Address - Street 1:6206 NORWICH AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-1288
Mailing Address - Country:US
Mailing Address - Phone:806-792-7200
Mailing Address - Fax:806-792-7225
Practice Address - Street 1:6206 NORWICH AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-1288
Practice Address - Country:US
Practice Address - Phone:806-792-7200
Practice Address - Fax:806-792-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
00657YMedicare PIN