Tina Keck
Massage Therapist in Adams, NY. Individual provider (NPI-1).
NPI number1093187635
StatusActive
Last updated in NPPESOct 22, 2015
Details
- NPI
- 1093187635
- Entity type
- Individual (NPI-1)
- Name
- Tina Keck
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2015
- Last updated
- Oct 22, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 025893-1 | NY | Yes |
Practice location
70 N Main StAdams, NY 13605-3102
Phone 315-405-1839
Mailing address
13443 Bishop Street RdAdams, NY 13605-2171
Phone 315-405-1839
Is something wrong?
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