Earl James Ketchum, LMP

NPI #1053558957 in Woodinville, Washington

Provider Information

NPI Number: 1053558957
Entity Type: Individual
Name: Earl James Ketchum, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 14, 2009
Last Updated: Jan 14, 2009

Practice Location

Address: 15236 NE 191ST PL
City: Woodinville
State: Washington
ZIP Code: 98072-8442
Phone: (206) 819-6859

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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