Individual
COREY ELIZABETH KOLLN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
451 SUNDANCE DR, RICHLAND, WA 99352-8625
(502) 849-8446
Mailing address
451 SUNDANCE DR, RICHLAND, WA 99352-8625
(502) 849-8446
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
11365
OR
225700000X
Massage Therapist
Primary
60955540
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
WASHINGTON STATE DEPT OF HEALTH
WA
01
—
60955540
WASHINGTON STATE DEPT OF HEALTH
WA
Enumeration date
03/14/2007
Last updated
02/20/2020
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