MRS. Kanyakanit Buppawong Depaz, LMP
NPI #1093002172 in Bellevue, Washington
Provider Information
- NPI Number
- 1093002172
- Entity Type
- Individual
- Name
- MRS. Kanyakanit Buppawong Depaz, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Mechanotherapist
- Credential
- LMP
- Enumeration Date
- Jul 8, 2011
- Last Updated
- Jul 8, 2011
Practice Location
- Address
- 14850 LAKE HILLS BLVD
- Address 2
- # 4
- City
- Bellevue
- State
- Washington
- ZIP Code
- 98007-5800
- Phone
- (425) 558-9441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mechanotherapist |
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