Individual
DANNA STASHA MCKIMMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 W NACHES AVE, SELAH, WA 98942-1323
(509) 698-2644
Mailing address
850 BRATHOVDE RD, SELAH, WA 98942-9578
(509) 945-2508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60730557
WA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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