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Kylie Van Cleve, LMT

Massage Therapist in Issaquah, WA. Individual provider (NPI-1).

NPI number1164038519
StatusActive
Last updated in NPPESSep 21, 2020

Details

NPI
1164038519
Entity type
Individual (NPI-1)
Name
Kylie Van Cleve
Credential
LMT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2020
Certification date
Sep 17, 2020
Last updated
Sep 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA61090457WAYes

Practice location

1320 Nw Mall St Ste A2
Issaquah, WA 98027-8964

Phone 425-557-8787

Mailing address

34626 Se Swenson Dr Apt D107
Snoqualmie, WA 98065-5112

Phone 385-414-7336

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