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Contact Information

KEITH M LOOP, BA, DSOM, JD, LBMT
70 RETA RD
FAIRVIEW, NC28730-8767
 Phone: 971-998-0800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for KEITH M LOOP · (Male)

NPI Number 1467700344
Status Active
Credentials BA, DSOM, JD, LBMT
Entity Individual
Enumeration date 08/26/2012
Last updated 04/15/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # AC17725
  • CO License # ACU0002336
  • CO License # MT0000582
  • NC License # 19192
  • NC License # 2023
  • OR License # 17539
  • OR License # AC180187
  • VA License # 0019016277
  • VA License # 0121000873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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