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Ms. Kathleen Diane Nielson, LICENSEDMASSAGEPRA
Massage Therapist in Lake Forest Park, Washington
NPI 1073689980

Kathleen Diane Nielson is a Massage Therapist based in Lake Forest Park, WA. Kathleen Diane Nielson practices in Lake Forest Park, WA and has the professional credentials of LICENSEDMASSAGEPRA. The NPI Number for Kathleen Diane Nielson is 1073689980 and holds a License No. MA5015 (Washington).

The current practice location address for Kathleen Diane Nielson is 20200 37Th Ave Ne, Lake Forest Park, WA and can be reached out via phone at 206-365-2350.

Location: 20200 37Th Ave Ne, Lake Forest Park, WA, 98155-1657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073689980
Provider Name
Kathleen Diane Nielson
Credential
LICENSEDMASSAGEPRA
Provider Entity Type
Individual
Gender
Female
Address
20200 37Th Ave Ne, Lake Forest Park, WA, 98155-1657
Phone Number
206-365-2350
Fax Number
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
63212 01 WA LABOR & INDUSTRIES
5829693 01 AETNA USHC
NI6014 01 REGENCE BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
20200 37Th Ave Ne
City
Lake Forest Park
State
Washington
Zip
98155-1657
Phone Number
206-365-2350
Fax Number
person
Provider Business Mailing Address Details
Address
20200 37Th Ave Ne
City
Lake Forest Park
State
Washington
Zip
98155-1657
Phone Number
206-365-2350
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA5015 (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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