Individual
ALLA RENEE KAMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
2722 SO MELROSE, TACOMA, WA 98405
(235) 223-2496
Mailing address
2722 SO MELROSE, TACOMA, WA 98405
(235) 223-2496
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA10836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022877
DEPT OF LABOR & INDUSTRIE
WA
01
—
2722KA
REGENCE BLUE SHIELD
WA
Enumeration date
07/27/2006
Last updated
07/08/2007
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