Provider Demographics
NPI:1245821024
Name:EASTBURN, KERI TKATCH (DPT)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:TKATCH
Last Name:EASTBURN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KERI
Other - Middle Name:
Other - Last Name:TKATCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4033 LINGLESTOWN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1153
Mailing Address - Country:US
Mailing Address - Phone:717-920-5002
Mailing Address - Fax:
Practice Address - Street 1:4033 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1153
Practice Address - Country:US
Practice Address - Phone:717-920-5002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029270225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist