MRS. Kelly Lyn Engeseth, LMP

NPI #1730232034 in Snohomish, Washington

Provider Information

NPI Number: 1730232034
Entity Type: Individual
Name: MRS. Kelly Lyn Engeseth, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jan 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1101 AVENUE D STE D207
City: Snohomish
State: Washington
ZIP Code: 98290-2004
Phone: (360) 563-0209

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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