Individual
FREDA LOUISE KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 SW 153RD ST, BURIEN, WA 98166-2311
(206) 877-2500
Mailing address
10101 64TH AVE CT E, PUYALLUP, WA 98373
(206) 877-2500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60308562
WA
Other
Enumeration date
09/13/2012
Last updated
11/24/2020
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