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Mrs. Kelly Lyn Engeseth, LMP
Massage Therapist in Snohomish, Washington
NPI 1730232034

Kelly Lyn Engeseth is a Massage Therapist based in Snohomish, WA. Kelly Lyn Engeseth practices in Snohomish, WA and has the professional credentials of LMP. The NPI Number for Kelly Lyn Engeseth is 1730232034 and holds a License No. MA00013819 (Washington).

The current practice location address for Kelly Lyn Engeseth is 1101 Avenue D Ste D207, Snohomish, WA and can be reached out via phone at 360-563-0209 and via fax at 360-563-0243. You can also correspond with Kelly Lyn Engeseth through the mailing address at 1101 AVENUE D STE D207, SNOHOMISH, WA - 98290-2004 (mailing address contact number: 360-563-0209).

Location: 1101 Avenue D Ste D207, Snohomish, WA, 98290-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730232034
Provider Name
Kelly Lyn Engeseth
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1101 Avenue D Ste D207, Snohomish, WA, 98290-2004
Phone Number
360-563-0209
Fax Number
360-563-0243
Provider Enumeration Date
01/19/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
156239 01 WA WA ST L&I
institution
Provider Business Practice Location Address Details
Address
1101 Avenue D Ste D207
City
Snohomish
State
Washington
Zip
98290-2004
Phone Number
360-563-0209
Fax Number
360-563-0243
person
Provider Business Mailing Address Details
Address
1101 Avenue D Ste D207
City
Snohomish
State
Washington
Zip
98290-2004
Phone Number
360-563-0209
Fax Number
360-563-0243
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00013819 (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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