Individual
TERI KUNDERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20611 BOTHELL EVERETT HWY, SUITE #G, BOTHELL, WA 98012
(425) 487-0487
Mailing address
20225 BOTHELL EVERETT HWY, APT #138, BOTHELL, WA 98012
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA00023412
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158132
MASSAGE THERAPIST
WA
Enumeration date
07/19/2007
Last updated
07/19/2007
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