Individual provider · Type 1 NPI

Kippi G. Mortensen Eldred, LMP

Massage Therapist · Monroe, WA

NPI number 1922376508 Active

Practice location

101 E Main St, Suite 201
Monroe, WA 98272-1519

Call (360) 863-0642 Map

Fax (360) 794-7236

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60255489 (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 1922376508

Kippi G. Mortensen Eldred, LMP's National Provider Identifier is 1922376508, issued on Dec 9, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Monroe, WA. The record was last updated on Dec 9, 2011.