Healthcare Provider Details

I. General information

NPI: 1487169983
Provider Name (Legal Business Name): ABIGAIL JESSIE KEISLING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 12/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PENNSYLVANIA AVE SE STE 202
WASHINGTON DC
20003-4425
US

IV. Provider business mailing address

506 A ST NE APT 4
WASHINGTON DC
20002-5950
US

V. Phone/Fax

Practice location:
  • Phone: 202-543-9400
  • Fax:
Mailing address:
  • Phone: 765-480-7043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: