Individual
MITCHELL KEEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
817 BROOKLYN ST, STE B, RALEIGH, NC 27605-1469
(919) 977-0259
Mailing address
817 BROOKLYN ST, STE B, RALEIGH, NC 27605-1469
(919) 977-0259
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11922
NC
Other
Enumeration date
07/12/2014
Last updated
07/12/2014
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