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Crystal Lena Porthen, LMP
Massage Therapist in Maple Valley, Washington
NPI 1740689678

Crystal Lena Porthen is a Massage Therapist based in Maple Valley, WA. Crystal Lena Porthen practices in Maple Valley, WA and has the professional credentials of LMP. The NPI Number for Crystal Lena Porthen is 1740689678 and holds a License No. MA 60378587 (Washington).

The current practice location address for Crystal Lena Porthen is 23229 Lower Dorre Don Way Se, Maple Valley, WA and can be reached out via phone at 425-466-4907.

Location: 23229 Lower Dorre Don Way Se, Maple Valley, WA, 98038-8283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740689678
Provider Name
Crystal Lena Porthen
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
23229 Lower Dorre Don Way Se, Maple Valley, WA, 98038-8283
Phone Number
425-466-4907
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23229 Lower Dorre Don Way Se
City
Maple Valley
State
Washington
Zip
98038-8283
Phone Number
425-466-4907
Fax Number
person
Provider Business Mailing Address Details
Address
23229 Lower Dorre Don Way Se
City
Maple Valley
State
Washington
Zip
98038-8283
Phone Number
425-466-4907
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 60378587 (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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