Provider Demographics
NPI:1316050362
Name:MACKEY, ROBERT N (PT)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:N
Last Name:MACKEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:91 NEWPORT PIKE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:GAP
Mailing Address - State:PA
Mailing Address - Zip Code:17527-9579
Mailing Address - Country:US
Mailing Address - Phone:717-442-8957
Mailing Address - Fax:
Practice Address - Street 1:91 NEWPORT PIKE
Practice Address - Street 2:SUITE 302
Practice Address - City:GAP
Practice Address - State:PA
Practice Address - Zip Code:17527-9579
Practice Address - Country:US
Practice Address - Phone:717-442-8957
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT000475E2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic