Provider Demographics
NPI:1003329764
Name:MCELWEE, KAYCEE (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:KAYCEE
Middle Name:
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 OAK HILL LN APT 212
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-2221
Mailing Address - Country:US
Mailing Address - Phone:361-827-3533
Mailing Address - Fax:
Practice Address - Street 1:706A W BEN WHITE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-7144
Practice Address - Country:US
Practice Address - Phone:512-441-5100
Practice Address - Fax:512-441-5108
Is Sole Proprietor?:No
Enumeration Date:2017-11-15
Last Update Date:2017-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1299103208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1299103OtherTEXAS BOARD OF PHYSICAL THERAPY EXAMINERS