Provider Demographics
NPI:1265729727
Name:KEEFER, CIARA NICOLE (DPT)
Entity type:Individual
Prefix:DR
First Name:CIARA
Middle Name:NICOLE
Last Name:KEEFER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WASHINGTON AVE
Mailing Address - Street 2:APT. 322
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-2140
Mailing Address - Country:US
Mailing Address - Phone:724-714-7281
Mailing Address - Fax:
Practice Address - Street 1:101 WASHINGTON AVE
Practice Address - Street 2:APT. 322
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-2140
Practice Address - Country:US
Practice Address - Phone:724-714-7281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist