Healthcare Provider Details

I. General information

NPI: 1225864853
Provider Name (Legal Business Name): LAUREN KEFFER DPT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN KELLY PT, DPT, OCS

II. Dates (important events)

Enumeration Date: 09/10/2024
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 S KING ST
HENDERSONVILLE NC
28792-5059
US

IV. Provider business mailing address

204 S KING ST
HENDERSONVILLE NC
28792-5059
US

V. Phone/Fax

Practice location:
  • Phone: 267-994-6711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP21083
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: