Keashia Dixon
Individual provider Active NPI Physical Therapy Assistant · Whitesburg, KY
NPI 1316219645 · NPPES record last updated Feb 1, 2012
Key facts
- NPI
- 1316219645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A02801 (KY)
- Practice address
- 44 McFarland Dr
Whitesburg, KY 41858-7308 - Phone
- (606) 634-8650
- NPI assigned
- Feb 1, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02801 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02801 | KY | Yes |
Addresses
Primary practice location
44 McFarland Dr
Whitesburg, KY 41858-7308
Mailing address
44 McFarland Dr
Whitesburg, KY 41858-7308
Other providers in Whitesburg, KY
- Karri Crouse
- D K Williams PSC
- Alexa Shaye Damron
- Tracy Day
- Anjali Sanjay Desai
- Sylvia Miranda Dixon
- DJ Letcher Manor LLC
- DJLM Operations, LLC
- Donna J Wilson, LCSW, PLLC
- Dr. Kevin Roark Family Dentistry, PSC
All providers in Whitesburg, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.