Doctor Name: | MRS. KELLI VANBUREN |
NPI Number: | 1225256498 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMP |
License Number: | MA00023587 |
Business Practice Address: | 102 5th Ave 9-202 Milton, WA - 983549699 |
Business Phone Number: | 2533800715 |
Business Fax Number: | |
Mailing Address: | 102 5th Ave, 9-202 MILTON |
State: | WA |
Postal Code: | 983548652 |
Phone Number: | 2533800715 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00023587 |
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. |