Individual
KAYLEE MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
4308 N 26TH ST, TACOMA, WA 98407-5211
(253) 301-3976
(253) 503-7261
Mailing address
PO BOX 7011, LISSETTE MASSAGE, LLC, TACOMA, WA 98417
(253) 301-3976
(253) 503-7261
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60519807
WA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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