Healthcare Provider Details

I. General information

NPI: 1619740297
Provider Name (Legal Business Name): ALYSSA MARIE MCKEE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401-9541
US

IV. Provider business mailing address

660 GOLDEN RIDGE RD STE 130
GOLDEN CO
80401-9541
US

V. Phone/Fax

Practice location:
  • Phone: 303-275-2190
  • Fax: 720-497-6767
Mailing address:
  • Phone: 303-275-2190
  • Fax: 720-497-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT007361
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number19975
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT030886
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: