Individual provider · Type 1 NPI

Kylie Chantel Lis, L.M.P

Massage Therapist · Lacey, WA

NPI number 1124453758 Active

Practice location

4804 Lacey Blvd SE
Lacey, WA 98503-5733

Call (360) 561-0171 Map

Fax (360) 915-7857

Mailing address

5001 College St SE, Apt # E-201
Lacey, WA 98503-5943

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00022944 (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 1124453758

Kylie Chantel Lis, L.M.P's National Provider Identifier is 1124453758, issued on Sep 13, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on Sep 13, 2013.