Kirstie L Tharge, LMP

NPI #1184617052 in Graham, Washington

Provider Information

NPI Number: 1184617052
Entity Type: Individual
Name: Kirstie L Tharge, LMP
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 25, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 21806 103RD AVENUE CT E
Address 2: #202
City: Graham
State: Washington
ZIP Code: 98338-8115
Phone: (253) 847-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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