| Doctor Name: | ROZALYN KHABIBULIN |
| NPI Number: | 1235310368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC, LMP |
| License Number: | MA00020614 |
| Business Practice Address: | 19265 State Route 2 Monroe, WA - 982721522 |
| Business Phone Number: | 3608058252 |
| Business Fax Number: | 3608058250 |
| Mailing Address: | Po Box 2660, WOODINVILLE |
| State: | WA |
| Postal Code: | 980722660 |
| Phone Number: | 2062618353 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 05/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MA00020614 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |