Most Relevant Information
Provider Data
| NPI Number: | 1003582396 |
| Provider Name: | KAREN JILL RYAN LMT LICENSED MASSAGE |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA61179279 |
Most Important Dates
| Enumeration Date: | 08/18/2021 |
| Last Updated: | 09/23/2022 |
Provider Practice Location
42031 LAKEVIEW DR. N
DEER MEADOWS
WA
99122
Practice Location Phone/Fax
| Phone: | 5094393050 |
| Fax: |
Provider Mailing Location
P.O BOX 366
DAVENPORT
WA
99122
Provider Mailing Phone/Fax
| Phone: | 5094393050 |
| Fax: |