Most Relevant Information
Provider Data
| NPI Number: | 1003026022 |
| Provider Name: | LILY ILNITSKY |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00018516 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
2130 S 314TH ST
FEDERAL WAY
WA
980035479
Practice Location Phone/Fax
| Phone: | 2537093649 |
| Fax: |
Provider Mailing Location
30823 18TH AVE S APT B202
FEDERAL WAY
WA
980034946
Provider Mailing Phone/Fax
| Phone: | 2537093649 |
| Fax: |