Individual
ALYCE KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
17407 VASHON HWY SW, VASHON, WA 98070-4653
(206) 271-7993
Mailing address
8924 SW CEMETERY RD, VASHON, WA 98070-6202
(206) 271-7993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60189742
WA
Other
Enumeration date
01/24/2011
Last updated
01/08/2020
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