Individual provider · Type 1 NPI

Madison Keenan

Developmental Therapist · St. Petersburg, FL

NPI number 1184518128 Active

Practice location

8673 15th Way N
St. Petersburg, FL 33702-2815

Call (727) 423-0060 Map

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1184518128

Madison Keenan's National Provider Identifier is 1184518128, issued on Jun 4, 2025. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 4, 2025.