Individual provider · Type 1 NPI

Khore D. Phoenix, BS, LMP

Massage Therapist · Ferndale, WA

NPI number 1831383736 Active

Practice location

2376 Main St, Suite 3
Ferndale, WA 98248-8605

Call (360) 384-2900 Map

Fax (360) 384-2955

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA000098105 (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 1831383736

Khore D. Phoenix, BS, LMP's National Provider Identifier is 1831383736, issued on Sep 4, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ferndale, WA. The record was last updated on Dec 23, 2011.