Individual
KRISTI JO BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
312 COLUMBIA ST NW, OLYMPIA, WA 98501-1031
(360) 357-1390
(360) 357-1391
Mailing address
1518 LAKEMOOR LOOP SW, OLYMPIA, WA 98512-5535
(360) 329-2655
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA 60305968
WA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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