Individual
KEISHLA MARIE GONZALEZ-ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
825 TIFFANIE CT, LEXINGTON, KY 40514-4082
(787) 459-6326
Mailing address
337 LUCILLE DR, LEXINGTON, KY 40511-8600
(787) 459-6326
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
185
VI
Other
Enumeration date
09/05/2014
Last updated
04/27/2025
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