Individual
MR. KEITH A CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LATC, PTA
Contact information
Practice address
103 GARLAND ST, EVERETT, MA 02149-5066
(617) 381-7175
Mailing address
117 FERNWOOD AVE, REVERE, MA 02151-3484
(781) 629-1300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4035
MA
2255A2300X
Athletic Trainer
Primary
1028
MA
Other
Enumeration date
06/21/2007
Last updated
09/11/2025
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