Provider Demographics
NPI:1912187899
Name:KEEFE, JOAN FLETCHER (PTA)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:FLETCHER
Last Name:KEEFE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:MARS HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28754-7606
Mailing Address - Country:US
Mailing Address - Phone:828-689-5200
Mailing Address - Fax:828-680-9827
Practice Address - Street 1:345 MANOR RD
Practice Address - Street 2:
Practice Address - City:MARS HILL
Practice Address - State:NC
Practice Address - Zip Code:28754-7606
Practice Address - Country:US
Practice Address - Phone:828-689-5200
Practice Address - Fax:828-680-9827
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant