Individual provider · Type 1 NPI
Jenell Lynn Kruse, LMP
Massage Therapist · Okanogan, WA
NPI number
1659505212
Active
Practice location
6 Quail Run Way
Okanogan, WA 98840
Mailing address
PO Box 685
Okanogan, WA 98840-0685
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60076314 (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 1659505212
Jenell Lynn Kruse, LMP's National Provider Identifier is 1659505212, issued on May 12, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Okanogan, WA. The record was last updated on May 12, 2009.