Individual provider · Type 1 NPI

Debra R. Kennedy, RN, LMP

Massage Therapist · Stanwood, WA

NPI number 1578864005 Active

Practice location

9416 271st St NW
Stanwood, WA 98292-8094

Call (360) 629-0110 Map

Mailing address

PO Box 1318
Stanwood, WA 98292-1318

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60172187 (WA)
Registered Nurse 163W00000XRN00095745 (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 1578864005

Debra R. Kennedy, RN, LMP's National Provider Identifier is 1578864005, issued on Nov 15, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stanwood, WA. The record was last updated on Nov 17, 2011.