Katina Marie Durst LMP

NPI 1114133808 - Massage Therapist - 225700000X

NPI Details
NPI 1114133808
Gender Female
Enumeration Date 05/16/2007
Last Updated 01/21/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1501 POTTERY AVE
PORT ORCHARD WA, 98366-3712, US
Phone (360) 876-6865
Fax (360) 876-5507
Business Location
14516 HOLIDAY DRIVE KP N
GIG HARBOR WA, 98329-5125, US
Phone (253) 225-2514
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA00018838
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According to our database, Mrs. Katina Marie Durst LMP NPI is 1114133808, taxonomy code is 225700000X and license number is MA00018838, license state is located at Washington. Katina Marie Durst LMP physically located at 1501 Pottery Ave, Port Orchard WA, 98366-3712. NPI Number Katina Marie Durst LMP has the Individual type.

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1114133808 NPI number is provided on an as is basis without warranty of any kind. 1114133808 is maintained by the National Plan & Provider Enumeration System. The contents of Katina Marie Durst LMP are for informational purposes only.