Doctor Name: | MR. ALIN RAY KITCHENS |
NPI Number: | 1083057822 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMP |
License Number: | MA60328543 |
Business Practice Address: | 205 Steward Road Suite 104 Mount Vernon, WA - 98273 |
Business Phone Number: | 3604163322 |
Business Fax Number: | 3604163302 |
Mailing Address: | 231 Se Barrington Dr, Suite 203 OAK HARBOR |
State: | WA |
Postal Code: | 982773200 |
Phone Number: | 8662400808 |
Fax Number: | 8662400808 |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 02/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60328543 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |