License holder summary

KEITH JASON KMIECZAK is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for KEITH JASON KMIECZAK is Leola PA 17540. This licensed professional license is current. The license was granted 08/05/2014 and expired on 12/31/2014.

Pennsylvania

Department of State

KEITH JASON KMIECZAK
Direct Access Authorization - Physical Therapy
License number
DAPT003043
Date granted
08/05/2014
Date expires
12/31/2014
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Leola PA 17540
palicensing.org
ID 19178455
LAST UPDATED 2026-05-23 01:13:47 UTC

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