Individual provider · Type 1 NPI

Jason C. Ketcham, LMP

Massage Therapist · Kirkland, WA

NPI number 1487790754 Active

Practice location

11821 NE 128th St, Suite C
Kirkland, WA 98034-7210

Call (425) 285-1250 Map

Fax (425) 285-1255

Mailing address

PO Box 731269
Puyallup, WA 98373-0060

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00022154 (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 1487790754

Jason C. Ketcham, LMP's National Provider Identifier is 1487790754, issued on Jan 30, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kirkland, WA. The record was last updated on Jul 8, 2007.