Healthcare Provider Details

I. General information

NPI: 1245148667
Provider Name (Legal Business Name): KEELEY PITTS OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 TOWN CREEK RD
AIKEN SC
29803-5841
US

IV. Provider business mailing address

181 TOWN CREEK RD
AIKEN SC
29803-5841
US

V. Phone/Fax

Practice location:
  • Phone: 803-642-0700
  • Fax: 803-642-0588
Mailing address:
  • Phone: 803-642-0700
  • Fax: 803-642-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8095
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: