Individual provider · Type 1 NPI

Kelly Mark Buchanan, LMT

Specialist · Federal Way, WA

NPI number 1083761423 Active

Practice location

500 S 336th St
Federal Way, WA 98003-6389

Call (253) 312-2217 Map

Mailing address

500 S 336th St Ste 110
Federal Way, WA 98003-6389

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA00015776 (WA)
Massage Therapist 225700000XMA00015776 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1083761423

Kelly Mark Buchanan, LMT's National Provider Identifier is 1083761423, issued on Jan 5, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Federal Way, WA. The record was last updated on Jul 22, 2021.