Individual
DAVID KEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
460 MARKET ST STE 208, WILLIAMSPORT, PA 17701-6322
(570) 419-2779
Mailing address
619 WYOMING ST, WILLIAMSPORT, PA 17701-3550
(570) 419-2779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001962
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76-0749020
—
PA
Enumeration date
05/04/2015
Last updated
05/04/2015
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