Provider Demographics
NPI:1619652062
Name:KEELY, CHRISTY
Entity Type:Individual
Prefix:DR
First Name:CHRISTY
Middle Name:
Last Name:KEELY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 HINDMAN RD
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-9576
Mailing Address - Country:US
Mailing Address - Phone:616-212-9853
Mailing Address - Fax:
Practice Address - Street 1:37 HINDMAN RD
Practice Address - Street 2:
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-9576
Practice Address - Country:US
Practice Address - Phone:616-212-9853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach