Individual
COREY MICHAEL KEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4090 GANTZ RD, GROVE CITY, OH 43123-4816
(614) 820-4992
(614) 820-4998
Mailing address
4090 GANTZ RD, GROVE CITY, OH 43123-4816
(614) 820-4992
(614) 820-4998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208962
VA
225100000X
Physical Therapist
Primary
PT017348
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305208962
VIRGINIA LICENSE
VA
Enumeration date
08/29/2014
Last updated
04/26/2018
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