Individual
JOSHUA BRADLEY KEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5160 OCEAN HWY W, SHALLOTTE, NC 28470-4012
(910) 332-3800
(910) 251-0421
Mailing address
PO BOX 5105, BELFAST, ME 04915-5100
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
051596
NY
225100000X
Physical Therapist
Primary
P24734
NC
225100000X
Physical Therapist
PTL27367
MA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24734
LICENCE
NC
Enumeration date
01/29/2024
Last updated
05/11/2026
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