NPI 1255818035

Keith Blauvelt

Practitioner Physical Therapy Assistant Jackson, NJ

Practice location

Address: 2 Kathleen Dr, Jackson, NJ 08527-2269
Phone: (732) 474-6055
Mailing address: 398 Kettle Creek Rd APT 7, Toms River, NJ 08753-1971

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00295700 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1255818035
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2018
Record last updated: 24 Jul 2018

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.