Kitsap Therapeutic Medical Massage and Bodywork, LLC
NPI #1326346768 in Port Orchard, Washington
Provider Information
- NPI Number
- 1326346768
- Entity Type
- Organization
- Organization Name
- Kitsap Therapeutic Medical Massage and Bodywork, LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Mar 9, 2011
- Last Updated
- Nov 14, 2016
Practice Location
- Address
- 4275 SE MILE HILL DR
- Address 2
- SUITE B
- City
- Port Orchard
- State
- Washington
- ZIP Code
- 98366-3934
- Phone
- (360) 710-3299
Authorized Official
- Name
- JULENE NIKOLAC, LMP
- Title
- OWNER
- Phone
- (360) 710-3299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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