MEDICARE: ELIZABETH JASMINE KEE

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
1	225700000X	Massage Therapist	MASS.MA.70038668	WA

General Provider Information

NPI Number	:	1699638254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JASMINE KEE

Provider Business Mailing Address
First Line	:	1414 E HARRISON ST APT I
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-5170
Country	:	US
Telephone Number	:	818-618-0305
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 E HARRISON ST APT I
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-5170
Country	:	US
Telephone Number	:	818-618-0305
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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