Individual
ELISE KLOTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
634 7TH AVE, KIRKLAND, WA 98033-5665
(425) 822-2858
(425) 822-5611
Mailing address
6212 SW SPOKANE ST, SEATTLE, WA 98116-2742
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00004194
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LOTUS MASSAGE
NAME OF BUSINESS
WA
Enumeration date
05/24/2007
Last updated
07/08/2007
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