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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0000MA7736 (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 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.