Individual provider · Type 1 NPI
Kimo Anthony Baenen, LMP
Massage Therapist · Lynnwood, WA
NPI number
1659608370
Active
Practice location
20015 Highway 99 Ste A
Lynnwood, WA 98036-6073
Fax (425) 670-8121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60103482 (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.
Another provider at this address
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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.