Provider Demographics
NPI:1144758889
Name:MCBEE, KRISTEN MICHELLE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:MICHELLE
Last Name:MCBEE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:KRISTEN
Other - Middle Name:MICHELLE
Other - Last Name:SUCHOCKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:115 DANDRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8544
Mailing Address - Country:US
Mailing Address - Phone:804-937-0127
Mailing Address - Fax:
Practice Address - Street 1:2781 JEFFERSON DAVIS HWY
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-8322
Practice Address - Country:US
Practice Address - Phone:540-659-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics