Kelsey Penner

NPI #1073943262 in Washougal, Washington

Provider Information

NPI Number: 1073943262
Entity Type: Individual
Name: Kelsey Penner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Nov 25, 2013
Last Updated: Nov 25, 2013

Practice Location

Address: 3307 EVERGREEN WAY
Address 2: SUITE 601
City: Washougal
State: Washington
ZIP Code: 98671-2062
Phone: (360) 835-9911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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