Provider Demographics
NPI:1346562089
Name:KEYES, TERRI JEAN (DC)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:JEAN
Last Name:KEYES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:TERRI
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:304 SCR 36
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:MS
Mailing Address - Zip Code:39119-4851
Mailing Address - Country:US
Mailing Address - Phone:681-622-0043
Mailing Address - Fax:
Practice Address - Street 1:103 MAIN AVE N
Practice Address - Street 2:
Practice Address - City:MAGEE
Practice Address - State:MS
Practice Address - Zip Code:39111-3533
Practice Address - Country:US
Practice Address - Phone:681-622-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1392111N00000X
KY251700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty