Provider Demographics
NPI:1316771322
Name:KEENER, EMILIE (PT)
Entity type:Individual
Prefix:
First Name:EMILIE
Middle Name:
Last Name:KEENER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:
Other - Last Name:GNIEWKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1308 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-5835
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 NATURE PARK RD # A
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6960
Practice Address - Country:US
Practice Address - Phone:724-689-0571
Practice Address - Fax:724-689-0560
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT032523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist