Provider Demographics
NPI:1508578949
Name:GAIT KEEPER PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:GAIT KEEPER PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALINA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MILLE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:330-241-2100
Mailing Address - Street 1:6438 BRONCO RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-9174
Mailing Address - Country:US
Mailing Address - Phone:330-241-2100
Mailing Address - Fax:
Practice Address - Street 1:9087 DUTTON DR
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1930
Practice Address - Country:US
Practice Address - Phone:330-241-2100
Practice Address - Fax:330-267-4323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty