Provider Demographics
NPI:1578237954
Name:KEITH, MARCEE DANIELLE (DPT)
Entity Type:Individual
Prefix:
First Name:MARCEE
Middle Name:DANIELLE
Last Name:KEITH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARCEE
Other - Middle Name:DANIELLE
Other - Last Name:SIMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1750 FOUNDERS PKWY STE 126
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7600
Mailing Address - Country:US
Mailing Address - Phone:770-442-0727
Mailing Address - Fax:770-343-9607
Practice Address - Street 1:1750 FOUNDERS PKWY STE 126
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7600
Practice Address - Country:US
Practice Address - Phone:770-442-0727
Practice Address - Fax:770-343-9607
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT015424225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist