Individual
MRS. DESTINY KILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
10024 MAIN ST, #2C, BOTHELL, WA 98011-3464
(425) 485-1413
Mailing address
1220 NE BALLINGER PL, SHORELINE, WA 98155-1138
(206) 478-5632
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60280476
WA
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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