Individual
MS. TARA ANN KEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1560 SAINT VINCENT AVE, LA SALLE, IL 61301-1407
(815) 488-9100
Mailing address
1560 SAINT VINCENT AVE, LA SALLE, IL 61301-1407
(815) 488-9100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227010866
IL
Other
Enumeration date
10/08/2014
Last updated
10/21/2014
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