Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 012229 | NY |
NPI | 1003164369 |
---|---|
Provider Name | Dr. Joshua T Keeler |
First Address | Rochester, NY 14618-5719 |
Second Address | Rochester, NY 14618-5719 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2012 |
Last Update Date | 21/10/2021 |