MR. Kelly Mark Buchanan, LMT

NPI #1083761423 in Federal Way, Washington

Provider Information

NPI Number: 1083761423
Entity Type: Individual
Name: MR. Kelly Mark Buchanan, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Jan 5, 2007
Last Updated: Jul 22, 2021

Practice Location

Address: 500 S 336TH ST
City: Federal Way
State: Washington
ZIP Code: 98003-6389
Phone: (253) 312-2217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Massage Therapist	225700000X

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