Individual provider · Type 1 NPI

Kristen Jacob, LMT

Massage Therapist · University Place, WA

NPI number 1801437579 Active

Practice location

4114 Bridgeport Way W
University Place, WA 98466-4315

Call (253) 564-8100 Map

Fax (253) 564-8387

Mailing address

16 Point Fosdick Dr NW
Gig Harbor, WA 98335-7819

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60971372 (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 1801437579

Kristen Jacob, LMT's National Provider Identifier is 1801437579, issued on Oct 3, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in University Place, WA. The record was last updated on Oct 3, 2019.