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Mrs. Lyrlene Kqm Javellana, LMP
Massage Therapist in Kent, Washington
NPI 1700910320

Lyrlene Kqm Javellana is a Massage Therapist based in Maple Valley, WA. Lyrlene Kqm Javellana practices in Kent, WA and has the professional credentials of LMP. The NPI Number for Lyrlene Kqm Javellana is 1700910320 and holds a License No. MA00017760 (Washington).

The current practice location address for Lyrlene Kqm Javellana is 1042 W James St, Kent, WA and can be reached out via phone at 253-852-3770 and via fax at 253-852-3913.

Location: 1042 W James St, Kent, WA, 98038-3315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700910320
Provider Name
Lyrlene Kqm Javellana
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1042 W James St, Kent, WA, 98038-3315
Phone Number
253-852-3770
Fax Number
253-852-3913
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91792822 01 WA EMPLOYER ID NUMBER
MA00017760 01 WA STATE LICENSE - MASSAGE
0192232 01 WA L&I PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1042 W James St
City
Kent
State
Washington
Zip
98032-4606
Phone Number
253-852-3770
Fax Number
253-852-3913
person
Provider Business Mailing Address Details
Address
1042 W James St
City
Kent
State
Washington
Zip
98032-4606
Phone Number
253-852-3770
Fax Number
253-852-3913
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00017760 (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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