Individual provider · Type 1 NPI

Jessica Kinkelaar Campbell, LMP

Massage Therapist · Puyallup, WA

NPI number 1154662195 Active

Practice location

12815 Canyon Rd E Ste R
Puyallup, WA 98373-5104

Call (253) 686-4606 Map

Fax (253) 446-6022

Mailing address

PO Box 273
Graham, WA 98338-0273

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60275438 (WA)
Nurse's Aide 376K00000XNC10096120 (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.

2 other providers at this address

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About NPI 1154662195

Jessica Kinkelaar Campbell, LMP's National Provider Identifier is 1154662195, issued on Mar 14, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Aug 25, 2022.