Provider Demographics
NPI:1891793493
Name:MCKAY, JULIE KEY (PT)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KEY
Last Name:MCKAY
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 1:1925 OLD MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-8984
Mailing Address - Country:US
Mailing Address - Phone:606-759-4719
Mailing Address - Fax:
Practice Address - Street 1:1925 OLD MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-8984
Practice Address - Country:US
Practice Address - Phone:606-759-4719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPT001912225100000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist