Individual provider · Type 1 NPI

Kolae Michelle Davenport, LMP

Massage Therapist · Spokane Valley, WA

NPI number 1215315767 Active

Practice location

500 S Pines Rd
Spokane Valley, WA 99206-5324

Fax (509) 891-6281

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60503389 (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 1215315767

Kolae Michelle Davenport, LMP's National Provider Identifier is 1215315767, issued on May 15, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane Valley, WA. The record was last updated on May 15, 2015.