IndividualActive
Keller Gordon, PT, DPT
NPI 1417730599 · Physical Therapist · Gray, GA
Provider details
- NPI number
- 1417730599
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT016778 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
907 Howard Roberts Rd
Gray, GA 31032-4003
Phone: (404) 593-4427
Approximate (ZIP-level) locationGet directions
Mailing address
907 Howard Roberts Rd
Gray, GA 31032-4003
Registry dates
- Enumerated
- 2023-08-14
- Last updated
- 2026-05-09
- Certified
- 2026-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.