Most Relevant Information
Provider Data
NPI Number: | 1003234733 |
Provider Name: | KISHA HANLEY LMP |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: | 60422398 |
Most Important Dates
Enumeration Date: | 03/31/2014 |
Last Updated: | 10/09/2020 |
Provider Practice Location
5219 W CLEARWATER AVE STE 1
KENNEWICK
WA
993361914
Practice Location Phone/Fax
Phone: | 5094402808 |
Fax: |
Provider Mailing Location
1839 PEACHTREE LN APT 4
RICHLAND
WA
993528485
Provider Mailing Phone/Fax
Phone: | 5094402808 |
Fax: |