Individual
ANDREA LYN KITTILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
721 M ST. S.E., SUITE #105, AUBURN, WA 98002
(253) 939-9599
(253) 804-5655
Mailing address
34024 1ST PL S, APT. # B, FEDERAL WAY, WA 98003-6566
(253) 334-6053
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00015434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194690
L & I
WA
Enumeration date
01/11/2007
Last updated
07/08/2007
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