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Mr. Kelly Mark Buchanan, LMT
Massage Therapist in Federal Way, Washington
NPI 1083761423

Kelly Mark Buchanan is a Massage Therapist based in Federal Way, WA. Kelly Mark Buchanan practices in Federal Way, WA and has the professional credentials of LMT. The NPI Number for Kelly Mark Buchanan is 1083761423 and holds a License No. MA00015776 (Washington).

The current practice location address for Kelly Mark Buchanan is 500 S 336Th St, Federal Way, WA and can be reached out via phone at 253-312-2217.

Location: 500 S 336Th St, Federal Way, WA, 98003-6389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083761423
Provider Name
Kelly Mark Buchanan
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
500 S 336Th St, Federal Way, WA, 98003-6389
Phone Number
253-312-2217
Fax Number
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
500 S 336Th St
City
Federal Way
State
Washington
Zip
98003-6389
Phone Number
253-312-2217
Fax Number
person
Provider Business Mailing Address Details
Address
500 S 336Th St
City
Federal Way
State
Washington
Zip
98003-6389
Phone Number
253-312-2217
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00015776 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00015776 (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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