Provider Demographics
NPI:1376687400
Name:KEPPLER, MARINA ANITA (LAC, DIPL AC)
Entity type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:ANITA
Last Name:KEPPLER
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 15TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55906-7135
Mailing Address - Country:US
Mailing Address - Phone:507-289-4213
Mailing Address - Fax:
Practice Address - Street 1:INTEGRATIVE THERAPIES FOUNDATION, 1001 14TH ST. NW
Practice Address - Street 2:250
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:507-280-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1168171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist