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NPI Code Detail

MEDICARE: SPENCER G KELLIHER LMT

MEDICARE: SPENCER G KELLIHER LMT
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 TherapistMA61234383WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA61234383OTHERWALICENSED MASSAGE THERAPIST

General Provider Information

NPI Number : 1750045332
Entity Type Code : Individual
Provider Name (Legal Business Name) : SPENCER G KELLIHER LMT
Provider Business Mailing Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 425-231-7605
Fax Number :
Provider Business Practice Location Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 425-231-7605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2021
Last Update Date : 10/17/2025

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Directions to “ SPENCER G KELLIHER LMT” Practice Location

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