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NPI Code Detail

MEDICARE: KIANA EATON

MEDICARE: KIANA EATON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA60416369WA

General Provider Information

NPI Number : 1104238401
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIANA EATON
Provider Business Mailing Address
First Line : 3504 SEATTLE HILL RD UNIT 20
Second Line :
City : MILL CREEK
State : WA
Zip : 98012-4290
Country : US
Telephone Number : 425-530-7506
Fax Number :
Provider Business Practice Location Address
First Line : 3504 SEATTLE HILL RD UNIT 20
Second Line :
City : MILL CREEK
State : WA
Zip : 98012-4290
Country : US
Telephone Number : 425-530-7506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2014
Last Update Date : 05/21/2014

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Directions to “ KIANA EATON ” Practice Location

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