Organization
LIBERATING JASPER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA MCKEE MS, RD (REGISTERED DIETITIAN, CO-FOUNDER)
(425) 999-5812
Entity
Organization
Contact information
Practice address
2133 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3839
(425) 999-5812
Mailing address
2133 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-3839
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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