Individual provider · Type 1 NPI

Kelly Nicole Wittemann, LMP

Massage Therapist · Everett, WA

NPI number 1417229568 Active

Practice location

5301 Evergreen Way Ste B
Everett, WA 98203-3631

Call (425) 257-1000 Map

Fax (425) 353-6787

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60248681 (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 1417229568

Kelly Nicole Wittemann, LMP's National Provider Identifier is 1417229568, issued on Feb 6, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Everett, WA. The record was last updated on Feb 6, 2012.