Provider Demographics
NPI:1093045882
Name:MCKEE, TANYA AKEMI (LMT)
Entity Type:Individual
Prefix:MRS
First Name:TANYA
Middle Name:AKEMI
Last Name:MCKEE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MRS
Other - First Name:AKEMI
Other - Middle Name:
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:11905 SE VALLEY VIEW TER
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-9718
Mailing Address - Country:US
Mailing Address - Phone:503-913-2422
Mailing Address - Fax:
Practice Address - Street 1:14785 SE OREGON TRAIL DR
Practice Address - Street 2:
Practice Address - City:HAPPY VALLEY
Practice Address - State:OR
Practice Address - Zip Code:97015-6446
Practice Address - Country:US
Practice Address - Phone:503-913-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12415225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist