MS. Kathleen Diane Nielson, LICENSED MASSAGE PRA
NPI #1073689980 in Lake Forest Park, Washington
Provider Information
- NPI Number
- 1073689980
- Entity Type
- Individual
- Name
- MS. Kathleen Diane Nielson, LICENSED MASSAGE PRA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LICENSED MASSAGE PRA
- Enumeration Date
- Nov 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 20200 37TH AVE NE
- City
- Lake Forest Park
- State
- Washington
- ZIP Code
- 98155-1657
- Phone
- (206) 365-2350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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