Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ||
N | 175L00000X | Homeopath | ||
N | 225700000X | Massage Therapist | 18KT01047800 | NJ |
NPI | 1164965950 |
---|---|
Provider Name | Laura Keiles |
First Address | Hillsborough, NJ 08844-3042 |
Second Address | Hillsborough, NJ 08844-3042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2016 |
Last Update Date | 14/03/2017 |