Provider Demographics
NPI:1952156671
Name:KEERTHI, ALLEXANDRA MARIE (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLEXANDRA
Middle Name:MARIE
Last Name:KEERTHI
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 TORCELLO FALLS LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6915
Mailing Address - Country:US
Mailing Address - Phone:419-310-3289
Mailing Address - Fax:
Practice Address - Street 1:4726 TORCELLO FALLS LN
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6915
Practice Address - Country:US
Practice Address - Phone:419-310-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122041225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation