Healthcare Provider Details

I. General information

NPI: 1356628192
Provider Name (Legal Business Name): ALLOWING KUHLMAN LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALLOWING ISREAL LMP

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1085 CEDAR AVE
MARYSVILLE WA
98270-4232
US

IV. Provider business mailing address

1085 CEDAR AVE
MARYSVILLE WA
98270-4232
US

V. Phone/Fax

Practice location:
  • Phone: 425-377-3038
  • Fax: 360-454-0439
Mailing address:
  • Phone: 425-377-3038
  • Fax: 360-454-0439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA00012551
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: