Doctor Name: | GEORGE KEENAN |
NPI Number: | 1609291517 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMT |
License Number: | 33714 |
Business Practice Address: | 1638 Riviera Ave Walnut Creek, CA - 945963528 |
Business Phone Number: | 9259799009 |
Business Fax Number: | |
Mailing Address: | Po Box 1974, BENICIA |
State: | CA |
Postal Code: | 945104974 |
Phone Number: | 8052208328 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2014 |
NPI Last Update Date: | 02/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |