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Earl James Ketchum, LMP
Massage Therapist in Woodinville, Washington
NPI 1053558957

Earl James Ketchum is a Massage Therapist based in Woodinville, WA. Earl James Ketchum practices in Woodinville, WA and has the professional credentials of LMP. The NPI Number for Earl James Ketchum is 1053558957 and holds a License No. MA00009821 (Washington).

The current practice location address for Earl James Ketchum is 15236 Ne 191St Pl, Woodinville, WA and can be reached out via phone at 206-819-6859.

Location: 15236 Ne 191St Pl, Woodinville, WA, 98072-8442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053558957
Provider Name
Earl James Ketchum
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
15236 Ne 191St Pl, Woodinville, WA, 98072-8442
Phone Number
206-819-6859
Fax Number
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15236 Ne 191St Pl
City
Woodinville
State
Washington
Zip
98072-8442
Phone Number
206-819-6859
Fax Number
person
Provider Business Mailing Address Details
Address
15236 Ne 191St Pl
City
Woodinville
State
Washington
Zip
98072-8442
Phone Number
206-819-6859
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00009821 (Washington)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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