Individual
MR. BENJAMIN RANDALL KELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2902 164TH ST SW STE D1, LYNNWOOD, WA 98087-3201
(425) 745-2500
Mailing address
4925 83RD AVE SE, SNOHOMISH, WA 98290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/13/2019
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