Individual
DANAE ELAINE KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Mailing address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
RCR0000000200
TN
225700000X
Massage Therapist
8085
TN
363A00000X
Physician Assistant
Primary
PA61113995
WA
Other
Enumeration date
07/19/2011
Last updated
09/27/2024
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