Provider Demographics
NPI:1891022364
Name:MCKEE, TANYA KAYE
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:KAYE
Last Name:MCKEE
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 1:1716 EWING RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:IN
Mailing Address - Zip Code:46975-8948
Mailing Address - Country:US
Mailing Address - Phone:574-223-1628
Mailing Address - Fax:574-223-1628
Practice Address - Street 1:1716 EWING RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:IN
Practice Address - Zip Code:46975-8948
Practice Address - Country:US
Practice Address - Phone:574-223-1628
Practice Address - Fax:574-223-1628
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist