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Individual
KATY CHAMBERLAIN
Active
Individual
KATY CHAMBERLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP, CCT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501010961
MI
225700000X
Massage Therapist
MA60303226
WA
Other
Enumeration date
12/03/2012
Last updated
04/18/2019
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