Jeremy Keesee

Individual provider Active NPI Massage Therapist · Westerville, OH

NPI 1972060077 · NPPES record last updated Feb 25, 2019

Key facts

NPI
1972060077
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
33.016274 (OH)
Practice address
677 Cooper Rd
Westerville, OH 43081-8962
Phone
(614) 895-2225
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
33.016274OHMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura V Skaates DC Inc Single Specialty Past
since Aug 1, 2001
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X 33.016274 OH Yes

Addresses

Primary practice location

677 Cooper Rd
Westerville, OH 43081-8962

Mailing address

677 Cooper Rd
Westerville, OH 43081-8962

Other providers in Westerville, OH

All providers in Westerville, OH · Massage Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.