Doctor Name: | KEISHA FORT |
NPI Number: | 1376653311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 3826 |
Business Practice Address: | 1212 Four Seasons Dr Durant, OK - 747012430 |
Business Phone Number: | 5809319218 |
Business Fax Number: | 5809241302 |
Mailing Address: | Po Box 831, MADILL |
State: | OK |
Postal Code: | 734460831 |
Phone Number: | 5807953301 |
Fax Number: | 5807957307 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |