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Kelly M Kertz, LMT
Massage Therapist in Lake Stevens, Washington
NPI 1407636426

Kelly M Kertz is a Massage Therapist based in Lake Stevens, WA. Kelly M Kertz practices in Lake Stevens, WA and has the professional credentials of LMT. The NPI Number for Kelly M Kertz is 1407636426 and holds a License No. MA61373588 (Washington).

The current practice location address for Kelly M Kertz is 25 95Th Dr Ne Ste 105, Lake Stevens, WA and can be reached out via phone at 425-334-9137 and via fax at 425-377-9487.

Location: 25 95Th Dr Ne Ste 105, Lake Stevens, WA, 98258-7976
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407636426
Provider Name
Kelly M Kertz
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
25 95Th Dr Ne Ste 105, Lake Stevens, WA, 98258-7976
Phone Number
425-334-9137
Fax Number
425-377-9487
Provider Enumeration Date
10/05/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61373588 01 WA MASSAGE THERAPY
institution
Provider Business Practice Location Address Details
Address
25 95Th Dr Ne Ste 105
City
Lake Stevens
State
Washington
Zip
98258-7976
Phone Number
425-334-9137
Fax Number
425-377-9487
person
Provider Business Mailing Address Details
Address
25 95Th Dr Ne Ste 105
City
Lake Stevens
State
Washington
Zip
98258-7976
Phone Number
425-334-9137
Fax Number
425-377-9487
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61373588 (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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