Individual
BRAD D KEISLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT,CSCS
Contact information
Practice address
1076 RIBAUT RD STE 102, BEAUFORT, SC 29902-5490
(843) 525-0045
(435) 250-8268
Mailing address
400 MAIN ST STE 200A4, HILTON HEAD, SC 29926-4628
(843) 441-0595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00221129
RAILROAD PROVIDER NUMBER
SC
01
—
P00415441
RAILROAD MEDICARE
SC
Enumeration date
07/03/2006
Last updated
02/13/2022
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