Healthcare Provider Details
I. General information
NPI: 1831609817
Provider Name (Legal Business Name): KEYS TO HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2017
Last Update Date: 04/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2223 N 56TH ST
SEATTLE WA
98103-6203
US
IV. Provider business mailing address
2223 N 56TH ST
SEATTLE WA
98103-6203
US
V. Phone/Fax
- Phone: 206-547-9944
- Fax: 206-547-1323
- Phone: 206-547-9944
- Fax: 206-547-1323
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH60178626 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC60193519 |
| License Number State | WA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MA00018017 |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
KELI
DENISE
KEPLER
Title or Position: CO-OWNER, PRESIDENT
Credential: DC
Phone: 206-547-9944