Individual provider · Type 1 NPI

Kennedy Jean Wesenberg, LMT

Massage Therapist · Graham, WA

NPI number 1467210765 Active

Practice location

21707 103rd Avenue Ct E Ste B201
Graham, WA 98338-8308

Call (253) 847-7517 Map

Fax (253) 847-7467

Mailing address

4529 Ridgewest Dr E
Lake Tapps, WA 98391-9183

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61512646 (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 1467210765

Kennedy Jean Wesenberg, LMT's National Provider Identifier is 1467210765, issued on Mar 11, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Graham, WA. The record was last updated on Mar 11, 2024.