Provider Demographics
NPI:1720405152
Name:KILLEEN, AIMEE CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:CHRISTINE
Last Name:KILLEEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 BEE CAVES RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5640
Mailing Address - Country:US
Mailing Address - Phone:512-327-5100
Mailing Address - Fax:512-327-0500
Practice Address - Street 1:2765 BEE CAVES RD
Practice Address - Street 2:SUITE 209
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5640
Practice Address - Country:US
Practice Address - Phone:512-327-5100
Practice Address - Fax:512-327-0500
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11470702251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic