Individual
BRENDA PHIN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
301 CROFT AVE, GOLD BAR, WA 98251-9619
(360) 793-0904
Mailing address
301 CROFT AVE, GOLD BAR, WA 98251-9619
(360) 799-0904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60599174
WA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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