Provider Demographics
NPI:1144357047
Name:KEATING, DORA (ND, LMP)
Entity type:Individual
Prefix:DR
First Name:DORA
Middle Name:
Last Name:KEATING
Suffix:
Gender:F
Credentials:ND, LMP
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:
Other - Last Name:DIMITROVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND, LMP
Mailing Address - Street 1:5423 26TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-1435
Mailing Address - Country:US
Mailing Address - Phone:206-550-7680
Mailing Address - Fax:
Practice Address - Street 1:5423 26TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-1435
Practice Address - Country:US
Practice Address - Phone:206-550-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00021755225700000X
WANT60259610175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist