Provider Demographics
NPI:1588462972
Name:KESHISHIAN, VAHIK (PT, DPT)
Entity type:Individual
Prefix:
First Name:VAHIK
Middle Name:
Last Name:KESHISHIAN
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 TOPANGA CANYON BLVD STE 170
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7468
Mailing Address - Country:US
Mailing Address - Phone:877-284-2638
Mailing Address - Fax:
Practice Address - Street 1:5550 TOPANGA CANYON BLVD STE 170
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-7468
Practice Address - Country:US
Practice Address - Phone:877-284-2638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA301472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist