| Doctor Name: | KEITH ERIC CHRISTIANSSEN |
| NPI Number: | 1053492082 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, ATC, MTC |
| License Number: | PT-3523 |
| Business Practice Address: | 3303 W 144th Ave Suite 105 Broomfield, CO - 800239464 |
| Business Phone Number: | 3034462200 |
| Business Fax Number: | 3034462201 |
| Mailing Address: | Po Box 270217, LOUISVILLE |
| State: | CO |
| Postal Code: | 800275003 |
| Phone Number: | 3034462200 |
| Fax Number: | 3034462201 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT-3523 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |