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Individual
KAITLYN KUSSKE
Active
Individual
KAITLYN KUSSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60129756
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60129756
MASSAGE PRACTITIONER
WA
Enumeration date
02/08/2010
Last updated
05/04/2016
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