| Doctor Name: | STACY G KEITH |
| NPI Number: | 1518910256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 2305006645 |
| Business Practice Address: | 915 Bay Ridge Ave Annapolis, MD - 214033029 |
| Business Phone Number: | 7037868827 |
| Business Fax Number: | 7037589053 |
| Mailing Address: | 908 Boucher Ave, ANNAPOLIS |
| State: | MD |
| Postal Code: | 214032302 |
| Phone Number: | 7037868827 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 04/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305006645 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| 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 |