Provider Demographics
NPI:1083693121
Name:KEYS, GRAEME (PT)
Entity Type:Individual
Prefix:MR
First Name:GRAEME
Middle Name:
Last Name:KEYS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10321 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3224
Mailing Address - Country:US
Mailing Address - Phone:865-694-8353
Mailing Address - Fax:865-693-0338
Practice Address - Street 1:10321 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3224
Practice Address - Country:US
Practice Address - Phone:865-694-8353
Practice Address - Fax:865-693-0338
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3658554Medicare ID - Type Unspecified