Provider Demographics
NPI:1528670528
Name:KEES, ALEXANDRA JANE (RMP)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:JANE
Last Name:KEES
Suffix:
Gender:F
Credentials:RMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5818 WESTERN VIEW PL APT SUITE
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5802
Mailing Address - Country:US
Mailing Address - Phone:301-748-7077
Mailing Address - Fax:
Practice Address - Street 1:7130 MINSTREL WAY STE 160
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5336
Practice Address - Country:US
Practice Address - Phone:410-312-9922
Practice Address - Fax:410-312-9923
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR03233225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty