Individual
DEZTENI LEAH MCKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1905 SE 192ND AVE STE 111, CAMAS, WA 98607-7415
(360) 954-5111
(360) 954-5413
Mailing address
1905 SE 192ND AVE STE 111, CAMAS, WA 98607-7415
(360) 954-5111
(360) 954-5413
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60392226
WA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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