Kathleen Ellen Porell, LMP
Massage Therapist in Renton, WA. Individual provider (NPI-1).
NPI number1124348461
StatusActive
Last updated in NPPESJun 9, 2010
Details
- NPI
- 1124348461
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Ellen Porell
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 9, 2010
- Last updated
- Jun 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | ma00012459 | WA | Yes |
Practice location
13422 191st Ave SeRenton, WA 98059-7241
Phone 425-235-9766
Mailing address
13422 191st Ave SeRenton, WA 98059-7241
Phone 425-235-9766
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