MEDICARE: MISS TONYA JOELLE KEEFER DPT

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	PT0010270	WA
2	225100000X	Physical Therapist	00010270	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346381126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS TONYA JOELLE KEEFER DPT

Provider Business Mailing Address
First Line	:	3200 WEST MCGRAW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3208
Country	:	US
Telephone Number	:	206-281-7970
Fax Number	:	206-281-7980

Provider Business Practice Location Address
First Line	:	3200 WEST MCGRAW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98199-3208
Country	:	US
Telephone Number	:	206-281-7970
Fax Number	:	206-281-7980

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	08/01/2011

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