Individual provider · Type 1 NPI
Kathleen Ellen Porell, LMP
Massage Therapist · Renton, WA
NPI number
1124348461
Active
Practice location
13422 191st Ave SE
Renton, WA 98059-7241
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00012459 (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.
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About NPI 1124348461
Kathleen Ellen Porell, LMP's National Provider Identifier is 1124348461, issued on Jun 9, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Renton, WA. The record was last updated on Jun 9, 2010.