Kylie Chantel Lis, L.M.P
Massage Therapist in Lacey, WA. Individual provider (NPI-1).
NPI number1124453758
StatusActive
Last updated in NPPESSep 13, 2013
Details
- NPI
- 1124453758
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kylie Chantel Lis
- Credential
- L.M.P
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2013
- Last updated
- Sep 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | ma00022944 | WA | Yes |
Practice location
4804 Lacey Blvd SeLacey, WA 98503-5733
Phone 360-561-0171 · Fax 360-915-7857
Mailing address
5001 College St SeApt # E-201
Lacey, WA 98503-5943
Phone 253-273-3828
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All 171 Massage Therapist providers in Lacey · All 1,962 providers in Lacey
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