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Spencer G Kelliher, LMT
Massage Therapist in Lake Stevens, Washington
NPI 1750045332

Spencer G Kelliher is a Massage Therapist based in Everett, WA. Spencer G Kelliher practices in Lake Stevens, WA and has the professional credentials of LMT. The NPI Number for Spencer G Kelliher is 1750045332 and holds a License No. MA61234383 (Washington).

The current practice location address for Spencer G Kelliher is 404 91St Ave Ne, Lake Stevens, WA and can be reached out via phone at 425-231-7605.

Location: 404 91St Ave Ne, Lake Stevens, WA, 98201-2254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750045332
Provider Name
Spencer G Kelliher
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
404 91St Ave Ne, Lake Stevens, WA, 98201-2254
Phone Number
425-231-7605
Fax Number
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA61234383 01 WA LICENSED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
404 91St Ave Ne
City
Lake Stevens
State
Washington
Zip
98258-2567
Phone Number
425-231-7605
Fax Number
person
Provider Business Mailing Address Details
Address
404 91St Ave Ne
City
Lake Stevens
State
Washington
Zip
98258-2567
Phone Number
425-231-7605
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61234383 (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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