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NPI Code Detail

MEDICARE: JOSH KEELER MAC, LAC, LMP

MEDICARE:   JOSH  KEELER  MAC, LAC, LMP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC00000384WA

General Provider Information

NPI Number : 1790082840
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSH KEELER MAC, LAC, LMP
Provider Business Mailing Address
First Line : 2550 QUEEN ANNE AVE. N.
Second Line :
City : SEATTLE
State : WA
Zip : 98109
Country : US
Telephone Number : 206-293-3538
Fax Number :
Provider Business Practice Location Address
First Line : 2550 QUEEN ANNE AVE N
Second Line :
City : SEATTLE
State : WA
Zip : 98109-1819
Country : US
Telephone Number : 206-293-3538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2011
Last Update Date : 02/24/2011

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Directions to “ JOSH KEELER MAC, LAC, LMP” Practice Location

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