Individual
ANNETTE KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4244 119TH AVE SE, TENINO, WA 98589-9681
(360) 292-5047
Mailing address
4244 119TH AVE SE, TENINO, WA 98589-9681
(360) 292-5047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60695525
WA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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