Kippi G Mortensen Eldred, LMP

NPI #1922376508 in Monroe, Washington

Provider Information

NPI Number: 1922376508
Entity Type: Individual
Name: Kippi G Mortensen Eldred, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Dec 9, 2011
Last Updated: Dec 9, 2011

Practice Location

Address: 101 E MAIN ST
Address 2: SUITE 201
City: Monroe
State: Washington
ZIP Code: 98272-1519
Phone: (360) 863-0642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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