Healthcare Provider Details

I. General information

NPI: 1437068350
Provider Name (Legal Business Name): KEERSTON UNDERKOFFLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4165 BLAIR ST # 132
PITTSBURGH PA
15207-1508
US

IV. Provider business mailing address

1270 MOUNT GRETNA RD
ELIZABETHTOWN PA
17022-1341
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-8347
  • Fax:
Mailing address:
  • Phone: 717-810-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: