Individual
BENJAMIN E KEENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT,OCS, FAAOMPT
Contact information
Practice address
3508 FAR WEST BLVD, SUITE 240, AUSTIN, TX 78731-3080
(512) 832-9411
(512) 832-9401
Mailing address
3508 FAR WEST BLVD, SUITE 240, AUSTIN, TX 78731-3080
(512) 832-9411
(512) 832-9401
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1141844
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166525901
—
TX
01
—
8T2545
BCBS INDIV PROVIDER ID
TX
Enumeration date
09/08/2005
Last updated
08/20/2014
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