Individual provider · Type 1 NPI

Diane Keck, LMT

Specialist · West Fargo, ND

NPI number 1356415392 Active

Practice location

107 Sheyenne St
West Fargo, ND 58078-1728

Call (701) 281-2777 Map

Mailing address

219 2nd Ave W Apt 18
West Fargo, ND 58078-1744

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X718 (ND)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1356415392

Diane Keck, LMT's National Provider Identifier is 1356415392, issued on Nov 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Fargo, ND. The record was last updated on Jul 8, 2007.