Individual
JETTE KEIS HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N VIRGINIA AVE STE 309, FALLS CHURCH, VA 22046-3323
(703) 862-3992
Mailing address
4315 SELKIRK DR, FAIRFAX, VA 22032-1433
(703) 785-7700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019002477
VA
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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