Kelly Abernathy
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1922364124
StatusActive
Last updated in NPPESApr 2, 2012
Details
- NPI
- 1922364124
- Entity type
- Individual (NPI-1)
- Name
- Kelly Abernathy
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 2, 2012
- Last updated
- Apr 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60270533 | WA | Yes |
Practice location
415 Se 117th AveVancouver, WA 98683-5269
Phone 360-448-1012
Mailing address
10508 Ne 68th StVancouver, WA 98662-4657
Phone 360-448-1012
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