Kristine Leuvelink Goddard, MASSAGE THERAPIST

NPI #1730630005 in Mc Lean, Virginia

Provider Information

NPI Number: 1730630005
Entity Type: Individual
Name: Kristine Leuvelink Goddard, MASSAGE THERAPIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MASSAGE THERAPIST
Enumeration Date: Oct 20, 2016
Last Updated: Oct 20, 2016

Practice Location

Address: 6829 ELM ST STE 300
City: Mc Lean
State: Virginia
ZIP Code: 22101-3845
Phone: (703) 532-4892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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