Individual
MS. BEVIN KEELY
Active
Individual
MS. BEVIN KEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00006264
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA1088
REGENCE BLUE SHIELD ID
WA
Enumeration date
10/12/2006
Last updated
04/11/2013
Update your record
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