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Mrs. Kylie Chantel Lis, LMP
Massage Therapist in Lacey, Washington
NPI 1124453758

Kylie Chantel Lis is a Massage Therapist based in Lacey, WA. Kylie Chantel Lis practices in Lacey, WA and has the professional credentials of LMP. The NPI Number for Kylie Chantel Lis is 1124453758 and holds a License No. MA00022944 (Washington).

The current practice location address for Kylie Chantel Lis is 4804 Lacey Blvd Se, Lacey, WA and can be reached out via phone at 360-561-0171 and via fax at 360-915-7857. You can also correspond with Kylie Chantel Lis through the mailing address at 5001 COLLEGE ST SE, LACEY, WA - 98503-5943 (mailing address contact number: 253-273-3828).

Location: 4804 Lacey Blvd Se, Lacey, WA, 98503-5943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124453758
Provider Name
Kylie Chantel Lis
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
4804 Lacey Blvd Se, Lacey, WA, 98503-5943
Phone Number
360-561-0171
Fax Number
360-915-7857
Provider Enumeration Date
09/13/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4804 Lacey Blvd Se
City
Lacey
State
Washington
Zip
98503-5733
Phone Number
360-561-0171
Fax Number
360-915-7857
person
Provider Business Mailing Address Details
Address
4804 Lacey Blvd Se
City
Lacey
State
Washington
Zip
98503-5733
Phone Number
360-561-0171
Fax Number
360-915-7857
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00022944 (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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