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Individual
MS. THERESE KELLIHER
Active
Individual
MS. THERESE KELLIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA9968
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111402
LABOR & INDUSTRIES
WA
01
—
17574
REGENCE BLUE SHIELD
WA
Enumeration date
12/13/2006
Last updated
07/08/2007
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