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Organization
LAKE FOREST PARK ACUPUNCTURE AND MASSAGE
Active
Organization
LAKE FOREST PARK ACUPUNCTURE AND MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERAN MCMANIMON LMP (OWNER/PARTNER/MASSAGE THERAPIST)
(206) 962-7620
Entity
Organization
Contact information
Practice address
18724 35TH AVE NE, LAKE FOREST PARK, WA 98155-2602
(206) 962-7620
Mailing address
18724 35TH AVE NE, LAKE FOREST PARK, WA 98155-2602
(206) 962-7620
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60525308
WA
225700000X
Massage Therapist
MA60228942
WA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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