Provider Demographics
NPI:1922986876
Name:ARBURY, KEATON (DPT)
Entity type:Individual
Prefix:
First Name:KEATON
Middle Name:
Last Name:ARBURY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 BRYANT ST STE A
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28208-5201
Mailing Address - Country:US
Mailing Address - Phone:704-919-0867
Mailing Address - Fax:704-817-8579
Practice Address - Street 1:1001 VAN BUREN AVE STE 3
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5541
Practice Address - Country:US
Practice Address - Phone:704-628-6053
Practice Address - Fax:704-628-6702
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist