National Provider Identifier

Keith Charles Fraas, PT

Keith Charles Fraas, PT is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1841478104Lackawanna, NYSpecialist

Profile Overview

NPI
1841478104
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
February 08, 2008
Last Updated
February 08, 2008

Practice Location

  • 1025 Ridge RD
  • Lackawanna, NY 14218-1755

Phone: (716) 822-4781

Mailing Address

  • 12 Creekwood Dr
  • Lancaster, NY 14086-9386

Specialties

  • Specialist (174400000X)
Full Record
NPI
1841478104
Entity Type
Individual
Last Name
Fraas
First Name
Keith
Middle Name
Charles
Credential
PT
Mailing Street Address
12 Creekwood Dr
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-9386
Mailing Country
US
Mailing Phone
(716) 685-8872
Practice Street Address
1025 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1755
Practice Country
US
Practice Phone
(716) 822-4781
Practice Fax
(716) 825-5765
Enumeration Date
February 08, 2008
Last Updated
February 08, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)