person
Kathleen Monica Long, LMP
Massage Therapist in Edmonds, Washington
NPI 1942404470

Kathleen Monica Long is a Massage Therapist based in Edmonds, WA. Kathleen Monica Long practices in Edmonds, WA and has the professional credentials of LMP. The NPI Number for Kathleen Monica Long is 1942404470 and holds a License No. MA00012777 (Washington).

The current practice location address for Kathleen Monica Long is 9631 Firdale Ave, Edmonds, WA and can be reached out via phone at 206-618-6079. You can also correspond with Kathleen Monica Long through the mailing address at 1057 ALDER ST, EDMONDS, WA - 98020-3322 (mailing address contact number: 206-618-6079).

Location: 9631 Firdale Ave, Edmonds, WA, 98020-3322
person
Provider Profile Details
NPI Number
1942404470
Provider Name
Kathleen Monica Long
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
9631 Firdale Ave, Edmonds, WA, 98020-3322
Phone Number
206-618-6079
Fax Number
Provider Enumeration Date
06/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4424LO 01 WA REGENCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
9631 Firdale Ave
City
State
Zip
98020-6519
Phone Number
206-618-6079
Fax Number
person
Provider Business Mailing Address Details
Address
9631 Firdale Ave
City
State
Zip
98020-6519
Phone Number
206-618-6079
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00012777 (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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