Provider Demographics
NPI:1386170280
Name:KEIL, CHERYL (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:KEIL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:ZURLIENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7269
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:4611 OUTER LOOP
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-3970
Practice Address - Country:US
Practice Address - Phone:502-625-6233
Practice Address - Fax:502-625-6234
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYT16072225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist