person
Mrs. Cecily Kaninawe Mitchell, LMP
Massage Therapist in Longview, Washington
NPI 1588807762

Cecily Kaninawe Mitchell is a Massage Therapist based in Longview, WA. Cecily Kaninawe Mitchell practices in Longview, WA and has the professional credentials of LMP. The NPI Number for Cecily Kaninawe Mitchell is 1588807762 and holds a License No. MA00017316 (Washington).

The current practice location address for Cecily Kaninawe Mitchell is 1815 Hudson, Longview, WA and can be reached out via phone at 360-423-3399 and via fax at 360-423-6181. You can also correspond with Cecily Kaninawe Mitchell through the mailing address at 1815 HUDSON, LONGVIEW, WA - 98632 (mailing address contact number: 360-423-3399).

Location: 1815 Hudson, Longview, WA, 98632
person
Provider Profile Details
NPI Number
1588807762
Provider Name
Cecily Kaninawe Mitchell
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1815 Hudson, Longview, WA, 98632
Phone Number
360-423-3399
Fax Number
360-423-6181
Provider Enumeration Date
04/17/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0165991 01 WA WA STATE DEPT OF LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
1815 Hudson
City
State
Zip
98632
Phone Number
360-423-3399
Fax Number
360-423-6181
person
Provider Business Mailing Address Details
Address
1815 Hudson
City
State
Zip
98632
Phone Number
360-423-3399
Fax Number
360-423-6181
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00017316 (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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