Keith Davis, LPC

NPI 1134904949 · on the registry since 2023 · sole proprietor

Practice

Address: 805 N Main St Ste 109
Moscow, ID 83843
Phone: (208) 831-7094
Fax: (208) 418-9816
Organisation at this address: Medicine Hands Therapeutic Bodywork, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Additional practice sites

818 S Washington St, Moscow, ID

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho