Individual provider · Type 1 NPI

Kimo Anthony Baenen, LMP

Massage Therapist · Lynnwood, WA

NPI number 1659608370 Active

About NPI 1659608370

Kimo Anthony Baenen, LMP's National Provider Identifier is 1659608370, issued on Nov 17, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Nov 18, 2009.