Individual provider · Type 1 NPI
Kelly Broyles-Pederson, LMP
Massage Therapist · Bellingham, WA
NPI number
1508167719
Active
Practice location
11 Bellwether Way Suite 102
Bellingham, WA 98225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60099597 (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 1508167719
Kelly Broyles-Pederson, LMP's National Provider Identifier is 1508167719, issued on Nov 4, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellingham, WA. The record was last updated on Feb 6, 2012.