Keough, Christianna

Keough, Christianna is an individual health care provider with primary practice located at 627 College Hwy Ste 6 , Southwick MA 01077-9829. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Keough, Christianna can be contacted via phone (137) 862-2504.

Contact Information

Primary practice address
627 College Hwy Ste 6 Southwick MA 01077-9829
Phone: (137) 862-2504
Fax: (413) 736-2254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 007836 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 16179 Massachusetts

Profile Details

NPI number 1144254475
LBN Legal business name Keough, Christianna
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Aug 2nd, 2021 - about 5 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 1144254475 NPPES
Massachusetts Other 110112581A MASSHEALTH
Massachusetts MEDICAID 001419701 MASSHEALTH

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