Provider Demographics
NPI:1003655754
Name:KEAYS, CHRISTIAN M (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:M
Last Name:KEAYS
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 N 91ST PLZ APT 201
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2647
Mailing Address - Country:US
Mailing Address - Phone:402-953-9319
Mailing Address - Fax:
Practice Address - Street 1:410 N BELL ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-5205
Practice Address - Country:US
Practice Address - Phone:402-512-3893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic