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Jason C Ketcham, LMP
Massage Therapist in Kirkland, Washington
NPI 1487790754

Jason C Ketcham is a Massage Therapist based in Puyallup, WA. Jason C Ketcham practices in Kirkland, WA and has the professional credentials of LMP. The NPI Number for Jason C Ketcham is 1487790754 and holds a License No. MA00022154 (Washington).

The current practice location address for Jason C Ketcham is 11821 Ne 128Th St, Kirkland, WA and can be reached out via phone at 425-285-1250 and via fax at 425-285-1255. You can also correspond with Jason C Ketcham through the mailing address at PO BOX 731269, PUYALLUP, WA - 98373-0060 (mailing address contact number: 253-840-2313).

Location: 11821 Ne 128Th St, Kirkland, WA, 98373-0060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487790754
Provider Name
Jason C Ketcham
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
11821 Ne 128Th St, Kirkland, WA, 98373-0060
Phone Number
425-285-1250
Fax Number
425-285-1255
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11821 Ne 128Th St
City
Kirkland
State
Washington
Zip
98034-7210
Phone Number
425-285-1250
Fax Number
425-285-1255
person
Provider Business Mailing Address Details
Address
Po Box 731269
City
Puyallup
State
Washington
Zip
98373-0060
Phone Number
253-840-2313
Fax Number
253-840-6340
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00022154 (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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