Provider Demographics
NPI:1144782616
Name:O'KEEFE, DOROTHY MEGHAN (LMT)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:MEGHAN
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:WHITEFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04353-0084
Mailing Address - Country:US
Mailing Address - Phone:207-542-8285
Mailing Address - Fax:
Practice Address - Street 1:526 MAIN ST UNIT C
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4680
Practice Address - Country:US
Practice Address - Phone:207-542-8285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10766457-4701225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist