Chantil Lanai Benjamin, LMP

NPI #1740576479 in Bothell, Washington

Provider Information

NPI Number: 1740576479
Entity Type: Individual
Name: Chantil Lanai Benjamin, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 10024 MAIN ST
Address 2: SUITE 2C
City: Bothell
State: Washington
ZIP Code: 98011-3464
Phone: (425) 485-1413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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