Provider Demographics
NPI:1013382258
Name:MCKEE, JONATHAN
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:MCKEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 E 44TH AVE
Mailing Address - Street 2:APT J105
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-7709
Mailing Address - Country:US
Mailing Address - Phone:509-769-8932
Mailing Address - Fax:
Practice Address - Street 1:3210 E 44TH AVE
Practice Address - Street 2:APT J105
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-7709
Practice Address - Country:US
Practice Address - Phone:509-769-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-12
Last Update Date:2015-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist