Individual
DANIELA CELESTE KISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4310 COLBY AVE STE 101, EVERETT, WA 98203-2338
(425) 905-7458
Mailing address
9810 STATE AVE UNIT 37, MARYSVILLE, WA 98270-2270
(425) 905-7458
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61503216
WA
225700000X
Massage Therapist
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Other
Enumeration date
10/10/2023
Last updated
11/15/2023
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