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NPI Code Detail

MEDICARE: KIM JULIUS LMT

MEDICARE: KIM JULIUS 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 Therapist00024001WA

General Provider Information

NPI Number : 1386454411
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIM JULIUS LMT
Provider Business Mailing Address
First Line : 3601 24TH AVE W APT 405
Second Line :
City : SEATTLE
State : WA
Zip : 98199-2148
Country : US
Telephone Number : 206-245-3511
Fax Number :
Provider Business Practice Location Address
First Line : 1100 NW 50TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5119
Country : US
Telephone Number : 206-789-6288
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2025
Last Update Date : 01/10/2025

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Directions to “ KIM JULIUS LMT” Practice Location

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