MRS. Kylie Chantel Lis, L.M.P
NPI #1124453758 in Lacey, Washington
Provider Information
- NPI Number
- 1124453758
- Entity Type
- Individual
- Name
- MRS. Kylie Chantel Lis, L.M.P
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- L.M.P
- Enumeration Date
- Sep 13, 2013
- Last Updated
- Sep 13, 2013
Practice Location
- Address
- 4804 LACEY BLVD SE
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-5733
- Phone
- (360) 561-0171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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