Healthcare Provider Details

I. General information

NPI: 1043175359
Provider Name (Legal Business Name): ASHLEY KIEFER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10125 S DE ANZA BLVD
CUPERTINO CA
95014-2105
US

IV. Provider business mailing address

10125 S DE ANZA BLVD
CUPERTINO CA
95014-2105
US

V. Phone/Fax

Practice location:
  • Phone: 408-865-1365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT308529
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: