Provider Demographics
NPI:1629417795
Name:KEEN, SCOTT (PT)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:
Last Name:KEEN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 E COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-2509
Mailing Address - Country:US
Mailing Address - Phone:413-301-6019
Mailing Address - Fax:413-363-2857
Practice Address - Street 1:933 E COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-2509
Practice Address - Country:US
Practice Address - Phone:413-301-6019
Practice Address - Fax:413-363-2857
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist