Healthcare Provider Details

I. General information

NPI: 1154267169
Provider Name (Legal Business Name): CHRISTOPHER JOHN KEFFER LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CRYSTAL JANE KEFFER LMT

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W MAIN ST STE 301
FRANKFORT KY
40601-1840
US

IV. Provider business mailing address

120 HILLVIEW CT
FRANKFORT KY
40601-3642
US

V. Phone/Fax

Practice location:
  • Phone: 502-219-1768
  • Fax:
Mailing address:
  • Phone: 502-219-1768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number301051
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: