Kelly Jo Webster
Massage Therapist in Tacoma, WA. Individual provider (NPI-1).
NPI number1467005397
StatusActive
Last updated in NPPESJul 19, 2019
Details
- NPI
- 1467005397
- Entity type
- Individual (NPI-1)
- Name
- Kelly Jo Webster
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2019
- Last updated
- Jul 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60043180 | WA | Yes |
Practice location
4610 S 73rd StTacoma, WA 98409-1417
Phone 253-426-3763
Mailing address
4610 S 73rd StTacoma, WA 98409-1417
Phone 253-426-3763
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