Individual
CONNOR KIRCHHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16901 SIMONDS RD NE, KENMORE, WA 98028-3967
(619) 241-6472
Mailing address
16901 SIMONDS RD NE, KENMORE, WA 98028-3967
(619) 241-6472
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60885878
WA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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