Kristen Jacob, LMT

NPI #1801437579 in University Place, Washington

Provider Information

NPI Number
1801437579
Entity Type
Individual
Name
Kristen Jacob, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Oct 3, 2019
Last Updated
Oct 3, 2019

Practice Location

Address
4114 BRIDGEPORT WAY W
ZIP Code
98466-4315
Phone
(253) 564-8100

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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