Healthcare Provider Details

I. General information

NPI: 1053802272
Provider Name (Legal Business Name): AMANDA KEIL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6785 BOBCAT WAY STE 300
DUBLIN OH
43016-1443
US

IV. Provider business mailing address

6480 HARRISON AVE STE 201
CINCINNATI OH
45247-7961
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax: 614-523-7557
Mailing address:
  • Phone: 513-283-8613
  • Fax: 513-587-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017353
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: