MEDICARE: DR. DORA KEATING ND, 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
1	225700000X	Massage Therapist	MA00021755	WA
2	175F00000X	Naturopath	NT60259610	WA

General Provider Information

NPI Number	:	1144357047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DORA KEATING ND, LMP

Provider Business Mailing Address
First Line	:	5423 26TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-1435
Country	:	US
Telephone Number	:	206-550-7680
Fax Number	:

Provider Business Practice Location Address
First Line	:	5423 26TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-1435
Country	:	US
Telephone Number	:	206-550-7680
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	03/20/2014

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