Whalio Doctors

NPI 1043881352

Keith M Bender, PTA

Practitioner Physical Therapy Assistant Sacramento, CA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 51254 (CA)

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.