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Lilith Wasmundt

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

NPI number1215768007
StatusActive
Last updated in NPPESAug 12, 2024

Details

NPI
1215768007
Entity type
Individual (NPI-1)
Name
Lilith Wasmundt
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2024
Certification date
Aug 12, 2024
Last updated
Aug 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA61580633WAYes

Practice location

12934 Se Kent Kangley Rd
Kent, WA 98030-7940

Phone 253-265-7629

Mailing address

17519 149th Ave Se Unit D12
Renton, WA 98058-8724

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