Individual provider · Type 1 NPI

Kim Michealle Bonner Secunda, LMP

Massage Therapist · Eastsound, WA

NPI number 1669615282 Active

Practice location

286 Enchanted Forest Rd, Suite 201A
Eastsound, WA 98245

Mailing address

25 Bonnie Brae Ln
Eastsound, WA 98245-9699

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0000MA7736 (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 1669615282

Kim Michealle Bonner Secunda, LMP's National Provider Identifier is 1669615282, issued on Apr 13, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eastsound, WA. The record was last updated on Apr 14, 2009.