Kristina Lorraine Ikerd, LMP

NPI #1962837575 in Lacey, Washington

Provider Information

NPI Number: 1962837575
Entity Type: Individual
Name: Kristina Lorraine Ikerd, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 13, 2013
Last Updated: Sep 13, 2013

Practice Location

Address: 4804 LACEY BLVD SE
City: Lacey
State: Washington
ZIP Code: 98503-5733
Phone: (360) 561-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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