Individual provider · Type 1 NPI
Lyrlene KQM Javellana, LMP
Massage Therapist · Kent, WA
NPI number
1700910320
Active
Practice location
1042 W James St, Suite No 101
Kent, WA 98032-4606
Fax (253) 852-3913
Mailing address
28704 235th Ave SE
Maple Valley, WA 98038-3315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00017760 (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.
2 other providers at this address
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- Jeri A. Simpson, LMPMassage Therapist Kent, WA NPI 1023152139
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About NPI 1700910320
Lyrlene KQM Javellana, LMP's National Provider Identifier is 1700910320, issued on Mar 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kent, WA. The record was last updated on Jul 8, 2007.