Individual
DR. KEITH M LOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, DSOM, JD, LBMT
Contact information
Practice address
70 RETA RD, FAIRVIEW, NC 28730-8767
(971) 998-0800
Mailing address
70 RETA RD, FAIRVIEW, NC 28730-8767
(971) 998-0800
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0121000873
VA
171100000X
Acupuncturist
Primary
2023
NC
171100000X
Acupuncturist
AC17725
CA
171100000X
Acupuncturist
AC180187
OR
171100000X
Acupuncturist
ACU0002336
CO
225700000X
Massage Therapist
0019016277
VA
225700000X
Massage Therapist
17539
OR
225700000X
Massage Therapist
19192
NC
225700000X
Massage Therapist
MT0000582
CO
Other
Enumeration date
08/26/2012
Last updated
04/15/2026
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