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

Michael Kiefer

Individual provider Physical Therapist · NPI 1477048965

Michael Kiefer is a Physical Therapist in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 441-7615
Fax: (508) 856-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 23647 (MA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 23647 (MA)

Record details

NPI number1477048965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020
Mailing addressPo Box 415348, Boston, MA 02241-5348

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