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Mrs. Khore D Phoenix, BS,LMP
Massage Therapist in Ferndale, Washington
NPI 1831383736

Khore D Phoenix is a Massage Therapist based in Ferndale, WA. Khore D Phoenix practices in Ferndale, WA and has the professional credentials of BS,LMP. The NPI Number for Khore D Phoenix is 1831383736 and holds a License No. MA000098105 (Washington).

The current practice location address for Khore D Phoenix is 2376 Main St, Ferndale, WA and can be reached out via phone at 360-384-2900 and via fax at 360-384-2955. You can also correspond with Khore D Phoenix through the mailing address at 2376 MAIN ST, FERNDALE, WA - 98248-8605 (mailing address contact number: 360-384-2900).

Location: 2376 Main St, Ferndale, WA, 98248-8605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831383736
Provider Name
Khore D Phoenix
Credential
BS,LMP
Provider Entity Type
Individual
Gender
Female
Address
2376 Main St, Ferndale, WA, 98248-8605
Phone Number
360-384-2900
Fax Number
360-384-2955
Provider Enumeration Date
09/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2376 Main St
City
Ferndale
State
Washington
Zip
98248-8605
Phone Number
360-384-2900
Fax Number
360-384-2955
person
Provider Business Mailing Address Details
Address
2376 Main St
City
Ferndale
State
Washington
Zip
98248-8605
Phone Number
360-384-2900
Fax Number
360-384-2955
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA000098105 (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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