Provider Demographics
NPI:1942221932
Name:TOWSON, KEELY BISHOP (PT)
Entity Type:Individual
Prefix:
First Name:KEELY
Middle Name:BISHOP
Last Name:TOWSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KEELY
Other - Middle Name:MARIE
Other - Last Name:BISHOP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8823 PRODUCTION LN
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6511
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:550 PEACHTREE ST NE
Practice Address - Street 2:SUITE 1165
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2247
Practice Address - Country:US
Practice Address - Phone:404-523-7709
Practice Address - Fax:404-681-2501
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT7131225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist