Individual provider · Type 1 NPI

Kevin Liddle Ii, LMT

Massage Therapist · University Place, WA

NPI number 1316412604 Active

Practice location

2714 Sunset Dr W
University Place, WA 98466-2735

Call (253) 327-8719 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60811237 (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 1316412604

Kevin Liddle Ii, LMT's National Provider Identifier is 1316412604, issued on Oct 12, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in University Place, WA. The record was last updated on Oct 12, 2018.