Keck, Mackenzie Elizabeth

Keck, Mackenzie Elizabeth is an individual health care provider with primary practice located at 4071 S Access Rd Ste 108 , Chattanooga TN 37406-1200. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Keck, Mackenzie Elizabeth can be contacted via phone (423) 894-4774.

Contact Information

Primary practice address
4071 S Access Rd Ste 108 Chattanooga TN 37406-1200
Phone: (423) 894-4774
Fax: (423) 894-4775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation 225XP0019X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 7133 Tennessee

Profile Details

NPI number 1508524364
LBN Legal business name Keck, Mackenzie Elizabeth
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Apr 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508524364 NPPES
Tennessee MEDICAID Q073272

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