Provider Demographics
NPI:1912405978
Name:KEIL, ANNE (PT DPT)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KEIL
Suffix:
Gender:F
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 1:1516 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-7362
Mailing Address - Country:US
Mailing Address - Phone:303-733-7360
Mailing Address - Fax:
Practice Address - Street 1:1516 AMERICAN WAY
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-7362
Practice Address - Country:US
Practice Address - Phone:303-733-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-24
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist