NPI 1043881352
Keith M Bender, PTA
Practice location
- Address
- 501 Jessie Ave, Sacramento, CA 95838-2608
- Phone
- (916) 922-8855
- Mailing address
- 1080 Julie Ln Spc 263, South Lake Tahoe, CA 96150-6225
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1043881352
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jul 2021
- Record last updated
- 7 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.