Kristin Faith Basanta, LMT

NPI #1194342790 in Camas, Washington

Provider Information

NPI Number: 1194342790
Entity Type: Individual
Name: Kristin Faith Basanta, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jun 29, 2020
Last Updated: Jun 29, 2020

Practice Location

Address: 534 NE EVERETT ST
City: Camas
State: Washington
ZIP Code: 98607-2025
Phone: (734) 649-6949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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