Keetha C McDaniel, L.AC.
Individual provider Active NPI Acupuncturist · Manitou Springs, CO
NPI 1336640283 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1336640283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 0002319 (CO)
- Practice address
- 513 Manitou Ave # Studio1
Manitou Springs, CO 80829-1806 - Phone
- (512) 983-7351
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002319 | CO | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 0002319 | CO | Yes |
Addresses
Primary practice location
513 Manitou Ave # Studio1
Manitou Springs, CO 80829-1806
Mailing address
331 Ruxton Ave
Manitou Springs, CO 80829-1983
Phone (512) 983-7351
Other names
- Kee McDaniel
Other providers in Manitou Springs, CO
- Roncia Reshia Lapread-St Clair
- Tyler Lester
- Kathleen Kimberly Lind Leander
- Patrick Mannion
- Wendy S Martin
- Amy Mogck
- Marya Molette
- Tanya Blair Montoya
- Leah Jeah Neilson-Johnson
- Nicholas John Nunley
All providers in Manitou Springs, CO · Acupuncturist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.