Harris, Keith D

Harris, Keith D is an sole proprietor health care provider with primary practice located at 2433 Austin Ave Ste B , Deltona FL 32738-3003. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Harris, Keith D can be contacted via phone (757) 334-9393.

Contact Information

Primary practice address
2433 Austin Ave Ste B Deltona FL 32738-3003
Phone: (757) 334-9393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004493 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT38696 Florida

Profile Details

NPI number 1477646768
LBN Legal business name Harris, Keith D
Credentials PT, CMTPT, DAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jun 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477646768 NPPES
Virginia Other 324581 ANTHEM

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