Individual provider · Type 1 NPI

Keith Edward Sullivan, DPT

Orthopedic Physical Therapist · San Bruno, CA

NPI number 1164823738 Active

Practice location

1001 Sneath Ln
San Bruno, CA 94066-2308

Call (650) 871-8645 Map

Mailing address

1717 Los Altos Dr
San Mateo, CA 94402-3602

Specialties and licenses

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X37244 (CA)

Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…

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About NPI 1164823738

Keith Edward Sullivan, DPT's National Provider Identifier is 1164823738, issued on Sep 15, 2014. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in San Bruno, CA. The record was last updated on Jan 3, 2022.