Kathleen G Borgstrom LMP

NPI 1750555801 - Massage Therapist - 225700000X

NPI Details
NPI 1750555801
Gender Female
Enumeration Date 04/19/2008
Last Updated 04/19/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
21157 STATE ROUTE 410 E
BONNEY LAKE WA, 98391-8457, US
Phone (253) 862-8590
Business Location
PO BOX 1239
ENUMCLAW WA, 98022-1239, US
Phone (253) 862-8590
Taxonomy Code 225700000X
License State Washington
License Number MA00017503
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According to our database, Kathleen G Borgstrom LMP NPI is 1750555801, taxonomy code is 225700000X and license number is MA00017503, license state is located at Washington. Kathleen G Borgstrom LMP physically located at 21157 State Route 410 E, Bonney Lake WA, 98391-8457. NPI Number Kathleen G Borgstrom LMP has the Individual type.

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1750555801 NPI number is provided on an as is basis without warranty of any kind. 1750555801 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen G Borgstrom LMP are for informational purposes only.