Penny Lee Ellenwood, LMT

NPI #1033621461 in Bellingham, Washington

Provider Information

NPI Number: 1033621461
Entity Type: Individual
Name: Penny Lee Ellenwood, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 25, 2017
Last Updated: Oct 25, 2017

Practice Location

Address: 3115 RACINE ST APT 104
City: Bellingham
State: Washington
ZIP Code: 98226-6645
Phone: (425) 299-6436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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