Kelly Keen Martin, LMP

NPI #1447746425 in Brush Prairie, Washington

Provider Information

NPI Number: 1447746425
Entity Type: Individual
Name: Kelly Keen Martin, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jul 2, 2018
Last Updated: Jul 2, 2018

Practice Location

Address: 15814 NE 182ND AVE
City: Brush Prairie
State: Washington
ZIP Code: 98606-9701
Phone: (360) 433-2629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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