Provider Demographics
NPI:1912281916
Name:KEYTON, ABBY (PT)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:KEYTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:SWOPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5832 FAYETTEVILLE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6291
Mailing Address - Country:US
Mailing Address - Phone:919-410-8840
Mailing Address - Fax:
Practice Address - Street 1:5832 FAYETTEVILLE RD STE 106
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6291
Practice Address - Country:US
Practice Address - Phone:919-410-8840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013260225100000X
NCP20372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist