Jessica Ketter

NPI #1003130063 in Olympia, Washington

Provider Information

NPI Number: 1003130063
Entity Type: Individual
Name: Jessica Ketter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Mar 19, 2010
Last Updated: Mar 19, 2010

Practice Location

Address: 1115 BLACK LAKE BLVD SW STE A
City: Olympia
State: Washington
ZIP Code: 98502-1026
Phone: (360) 357-7585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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