Provider Demographics
NPI:1821313339
Name:DEWEY KEEFER, HANNAH LEE (LMP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LEE
Last Name:DEWEY KEEFER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2011 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6635
Mailing Address - Country:US
Mailing Address - Phone:253-426-8472
Mailing Address - Fax:
Practice Address - Street 1:2011 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-6635
Practice Address - Country:US
Practice Address - Phone:253-426-8472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60135653172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist