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Organization
LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC
Active
Organization
LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TIM KELLEY LMP (OWNER/SR. THERAPIST)
(425) 861-4600
Entity
Organization
Contact information
Practice address
7981 168TH AVE NE, STE 140, REDMOND, WA 98052
(425) 861-4600
Mailing address
7981 168TH AVE NE, STE 140, REDMOND, WA 98052
(425) 861-4600
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00013010
WA
Other
Enumeration date
10/04/2012
Last updated
10/09/2012
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