Individual
MRS. MACKENZIE ELIZABETH KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4071 S ACCESS RD STE 108, CHATTANOOGA, TN 37406-1200
(423) 894-4774
(423) 894-4775
Mailing address
PO BOX 903, HIXSON, TN 37343-0903
(423) 894-4774
(423) 894-4775
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
7133
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q073272
—
TN
Enumeration date
11/29/2021
Last updated
04/26/2022
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