Jill Herbold
NPI #1154557841 in Kingston, Washington
Provider Information
- NPI Number
- 1154557841
- Entity Type
- Individual
- Name
- Jill Herbold
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jun 8, 2009
- Last Updated
- Jun 8, 2009
Practice Location
- Address
- 24575 MADURA DR NE
- City
- Kingston
- State
- Washington
- ZIP Code
- 98346-9290
- Phone
- (360) 509-0995
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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