MEDICARE: KEATON YAW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1063253623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEATON YAW

Provider Business Mailing Address
First Line	:	800 N HOWARD AVE UNIT 221
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33606-1077
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6417 E COUNTY LINE RD STE 100
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-1855
Country	:	US
Telephone Number	:	813-461-8840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

Similar Medicare Providers

1740515105 — EYE DOCTORS OPTICAL OUTLETS, PA
Practice Location Address:

6417 E COUNTY LINE RD STE 102
TAMPA, FL
33647-1855

Practice Phone: 813-885-3937
Practice Fax:

1134882772 — DR. JENNA LEE BELSER PT, DPT, ATC
Practice Location Address:

6417 E COUNTY LINE RD STE 100
TAMPA, FL
33647-1855

Practice Phone: 813-461-8840
Practice Fax:

1669124954 — SHADEN YOUSEF
Practice Location Address:

6417 E COUNTY LINE RD STE 100
TAMPA, FL
33647-1855

Practice Phone: 813-461-8840
Practice Fax:

1942056510 — HANNAH RUCKNER
Practice Location Address:

6417 E COUNTY LINE RD STE 100
TAMPA, FL
33647-1855

Practice Phone: 813-461-8840
Practice Fax:

1659264521 — CAROLYN MICHELLE BLANCO
Practice Location Address:

6417 E COUNTY LINE RD STE 100
TAMPA, FL
33647-1855

Practice Phone: 813-461-8840
Practice Fax: 813-461-8834

1285871236 — R & GRIFFITH ENTERPRISE INC
Practice Location Address:

2912 W WATERS AVE
TAMPA, FL
33614-1855

Practice Phone: 813-865-0522
Practice Fax: 813-865-0524

Directions to “ KEATON YAW ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.