Most Relevant Information
Provider Data
| NPI Number: | 1003197823 |
| Provider Name: | JESSE PAYNE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA60168968 |
Most Important Dates
| Enumeration Date: | 09/07/2011 |
| Last Updated: | 09/07/2011 |
Provider Practice Location
5227 84TH ST SW APT B4
MUKILTEO
WA
982752967
Practice Location Phone/Fax
| Phone: | 4257700892 |
| Fax: |
Provider Mailing Location
5227 84TH ST SW APT B4
MUKILTEO
WA
982752967
Provider Mailing Phone/Fax
| Phone: | 4257700892 |
| Fax: |