Jason C Ketcham in Kirkland - Massage Therapist
Jason C Ketcham - NPI 1487790754
Jason C Ketcham is a Massage Therapist in Kirkland, Washington. Jason C Ketcham practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jason C Ketcham is 1487790754. The last update date is 2007-07-08.
Jason C Ketcham's current location address is 11821 Ne 128th St, Kirkland, Washington. You can contact this provider via phone number 4252851250 and fax number 4252851255. The mailing address for Jason C Ketcham is 11821 Ne 128th St, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason C Ketcham |
|---|---|
| Address | 11821 Ne 128th St, Kirkland, Washington |
| Phone Number | 4252851250 |
| Fax Number | 4252851255 |
| Sole Proprietor | N |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1487790754 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11821 Ne 128th St |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 9803472100 |
| Phone Number | 4252851250 |
| Fax Number | 4252851255 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00022154 |
|
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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What is the unique identifier code issued to Jason C Ketcham by the Centers for Medicare & Medicaid Services?
The Jason C Ketcham has been assigned the NPI (National Provider Identifier) 1487790754. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jason C Ketcham?
The Jason C Ketcham is situated at 11821 Ne 128Th St, in the city of Kirkland, state of WA, with the zip code 9803472100.
What is Jason C Ketcham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason C Ketcham is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
When did the Jason C Ketcham receive its 1487790754?
The Jason C Ketcham was issued its 1487790754 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
When was the information related to Jason C Ketcham most recently updated or refreshed?
The details pertaining to the Jason C Ketcham, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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