Kelly Mark Buchanan in Federal Way - Massage Therapist

Kelly Mark Buchanan - NPI 1083761423

Kelly Mark Buchanan is a Massage Therapist in Federal Way, Washington. Kelly Mark Buchanan practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kelly Mark Buchanan is 1083761423. The last update date is 2021-07-22.

Kelly Mark Buchanan's current location address is 500 S 336th St Ste 110, Federal Way, Washington. You can contact this provider via phone number 2533122217. The mailing address for Kelly Mark Buchanan is 500 S 336th St Ste 110, Federal Way, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Mark Buchanan
Address 500 S 336th St Ste 110, Federal Way, Washington
Phone Number 2533122217
Fax Number
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1083761423
Provider Enumeration Date 2007-01-05
Last Updated Date 2021-07-22

Provider Mailing Address Detail

Address 500 S 336th St Ste 110
City Federal Way
State Washington (WA)
Post Code 980036389
Phone Number 2533122217
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00015776
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.

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FAQs about Kelly Mark Buchanan

What is the unique provider identifier assigned to Kelly Mark Buchanan?

The Kelly Mark Buchanan has been issued the NPI (National Provider Identifier) 1083761423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Kelly Mark Buchanan is physically located?

The Kelly Mark Buchanan is situated at the following address: 500 S 336Th St Ste 110, Federal Way, WA 980036389.

What is Kelly Mark Buchanan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Mark Buchanan's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.

On what date was the 1083761423 assigned to Kelly Mark Buchanan?

The Kelly Mark Buchanan was issued its 1083761423 on 2007-01-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kelly Mark Buchanan most recently updated or revised?

The information pertaining to Kelly Mark Buchanan, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-22.

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