Most Relevant Information
Provider Data
| NPI Number: | 1003429291 |
| Provider Name: | JILL RUPP |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61082905 |
Most Important Dates
| Enumeration Date: | 08/26/2020 |
| Last Updated: | 08/26/2020 |
Provider Practice Location
2100 LAKE WASHINGTON BLVD N APT K101
RENTON
WA
980561455
Practice Location Phone/Fax
| Phone: | 3154862596 |
| Fax: |
Provider Mailing Location
2100 LAKE WASHINGTON BLVD N APT K101
RENTON
WA
980561455
Provider Mailing Phone/Fax
| Phone: | 3154862596 |
| Fax: |