Provider Demographics
NPI:1902007248
Name:MCKEE, JUDITH A (PT)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:A
Last Name:MCKEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:JUDITH
Other - Middle Name:A
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1724
Mailing Address - Country:US
Mailing Address - Phone:717-334-6834
Mailing Address - Fax:717-334-3923
Practice Address - Street 1:10 SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1724
Practice Address - Country:US
Practice Address - Phone:717-334-6834
Practice Address - Fax:717-334-3923
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005554L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396716Medicare ID - Type Unspecified