Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT60259610 | WA |
N | 225700000X | Massage Therapist | MA00021755 | WA |
NPI | 1144357047 |
---|---|
Provider Name | Dr. Dora Keating |
First Address | Seattle, WA 98106-1435 |
Second Address | Seattle, WA 98106-1435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 20/03/2014 |