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NPI Code Detail

MEDICARE: KATELYN LOVELESS LMT

MEDICARE: KATELYN LOVELESS 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 TherapistMA61219638WA

General Provider Information

NPI Number : 1144977794
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN LOVELESS LMT
Provider Business Mailing Address
First Line : 2818 E MADISON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4841
Country : US
Telephone Number : 206-397-3590
Fax Number : 206-922-2053
Provider Business Practice Location Address
First Line : 2818 E MADISON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98112-4841
Country : US
Telephone Number : 206-397-3590
Fax Number : 206-922-2053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2022
Last Update Date : 03/03/2022

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Directions to “ KATELYN LOVELESS LMT” Practice Location

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