Kim McDougall
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1245516111
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1245516111
- Entity type
- Individual (NPI-1)
- Name
- Kim McDougall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2011
- Last updated
- Oct 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00006799 | WA | Yes |
Practice location
17030 Se 1st St Ste 102Vancouver, WA 98684-8514
Phone 360-604-1226
Mailing address
28334 Ne 61st StCamas, WA 98607-9776
Phone 360-834-7545
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