Individual
EMILY KEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 TEXAS ST # 211, SHREVEPORT, LA 71101-3552
(318) 771-7810
Mailing address
624 TEXAS ST # 211, SHREVEPORT, LA 71101-3552
(323) 839-6534
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
309018
LA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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