Individual provider · Type 1 NPI

Terri Lynn Kilbourne, MA 00004895

Specialist · Enumclaw, WA

NPI number 1508209420 Active

Practice location

1710 Railroad Street, Enumclaw Day Spa
Enumclaw, WA 98022

Mailing address

62408 Forest Glen Way E
Enumclaw, WA 98022-8088

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 00004895 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508209420

Terri Lynn Kilbourne, MA 00004895's National Provider Identifier is 1508209420, issued on Apr 10, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Enumclaw, WA. The record was last updated on Apr 10, 2013.