# ATA PODIATRIC AND INTEGRATIVE MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821546540
- **Authorized official:** DR. ALEXIS MCKEOWN DPM (PODIATRIST)
- **Authorized official phone:** (404) 210-5620

## Contact information

- **Practice address:** 1950 ALASKAN WAY, APT 526, SEATTLE, WA 98101-1075
- **Practice address phone:** (404) 210-5620
- **Mailing address:** 1950 ALASKAN WAY, APT 526, SEATTLE, WA 98101-1075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | PO60295566 | WA | Yes |

## Other

- **Enumeration date:** 09/12/2016
- **Last updated:** 09/12/2016
