Individual
AMANDA KILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
819 N 49TH ST # 108, SEATTLE, WA 98103-6569
(206) 931-8690
Mailing address
6539 LATONA AVE NE, SEATTLE, WA 98115-6423
(206) 931-8690
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60201084
WA
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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