Individual provider · Type 1 NPI
Karynn Andrea Mackinnon, LMP
Massage Therapist · Vancouver, WA
NPI number
1093007155
Active
Practice location
1906 Broadway St
Vancouver, WA 98663-3325
Fax (360) 953-8307
Mailing address
4820 NE Hazel Dell Ave, 233
Vancouver, WA 98663-3803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60212905 (WA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3 other providers at this address
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About NPI 1093007155
Karynn Andrea Mackinnon, LMP's National Provider Identifier is 1093007155, issued on May 9, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jun 13, 2013.