Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keegan Andrew Campbell Woolley, PTA

Individual provider Physical Therapy Assistant · NPI 1407534290

Keegan Andrew Campbell Woolley, PTA is a Physical Therapy Assistant in Leesport, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1011 Berk Rd
Leesport, PA 19533-8705
Phone: (376) 484-1610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE013324 (PA)

Record details

NPI number1407534290
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

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