Individual provider · Type 1 NPI

Kathleen G. Borgstrom, LMP

Massage Therapist · Bonney Lake, WA

NPI number 1750555801 Active

Practice location

21157 State Route 410 E
Bonney Lake, WA 98391-8457

Call (253) 862-8590 Map

Mailing address

PO Box 1239
Enumclaw, WA 98022-1239

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00017503 (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 1750555801

Kathleen G. Borgstrom, LMP's National Provider Identifier is 1750555801, issued on Apr 19, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Apr 19, 2008.