Provider Demographics
NPI:1427935345
Name:KEATON PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:KEATON PHYSICAL THERAPY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEAON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-997-4131
Mailing Address - Street 1:1550 WYOMING CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2256
Mailing Address - Country:US
Mailing Address - Phone:775-997-4131
Mailing Address - Fax:
Practice Address - Street 1:7530 LONGLEY LN STE 105
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-1463
Practice Address - Country:US
Practice Address - Phone:775-997-4131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy