Organization
EDMONDS MASSAGE CENTER
Active
Organization
EDMONDS MASSAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KOZELISKY (PRESIDENT)
(425) 776-1056
Entity
Organization
Contact information
Practice address
6603 220TH ST SW STE 1C, MOUNTLAKE TERRACE, WA 98043-2186
(425) 776-1056
Mailing address
6603 220TH ST SW STE 1C, MOUNTLAKE TERRACE, WA 98043-2186
(425) 776-1056
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00012309
WA
Other
Enumeration date
06/11/2007
Last updated
08/22/2020
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