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Mr. Devan Kelso, LMP
Massage Therapist in Kent, Washington
NPI 1467807420

Devan Kelso is a Massage Therapist based in Auburn, WA. Devan Kelso practices in Kent, WA and has the professional credentials of LMP. The NPI Number for Devan Kelso is 1467807420 and holds a License No. MA 60369798 (Washington).

The current practice location address for Devan Kelso is 12911 Se Kent Kangley Rd, Kent, WA and can be reached out via phone at 253-277-0029.

Location: 12911 Se Kent Kangley Rd, Kent, WA, 98071-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467807420
Provider Name
Devan Kelso
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
12911 Se Kent Kangley Rd, Kent, WA, 98071-1451
Phone Number
253-277-0029
Fax Number
Provider Enumeration Date
04/27/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1296672 01 WA AMTA
institution
Provider Business Practice Location Address Details
Address
12911 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7939
Phone Number
253-277-0029
Fax Number
person
Provider Business Mailing Address Details
Address
12911 Se Kent Kangley Rd
City
Kent
State
Washington
Zip
98030-7939
Phone Number
253-277-0029
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60369798 (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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