Jenell Lynn Kruse, LMP

NPI #1659505212 in Okanogan, Washington

Provider Information

NPI Number: 1659505212
Entity Type: Individual
Name: Jenell Lynn Kruse, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 6 QUAIL RUN WAY
City: Okanogan
State: Washington
ZIP Code: 98840
Phone: (509) 826-2894

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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