Individual
KENNETH PAUL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3220 17TH ST NW # 10, WASHINGTON, DC 20010-2135
(202) 436-1279
Mailing address
1650 HARVARD ST NW APT 727, WASHINGTON, DC 20009-3737
(503) 750-0791
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2428
DC
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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