Kassen Elaine Barrow, MASSAGE THERAPIST

Individual provider Active NPI Massage Therapist · Pasco, WA

NPI 1831451285 · NPPES record last updated Jun 12, 2012

Key facts

NPI
1831451285
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
60291679 (WA)
Practice address
9825 Sandifur Pkwy Ste C
Pasco, WA 99301-6738
Phone
(509) 430-3936
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
60291679WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60291679 WA Yes

Addresses

Primary practice location

9825 Sandifur Pkwy Ste C
Pasco, WA 99301-6738

Mailing address

9825 Sandifur Pkwy Ste C
Pasco, WA 99301-6738
Phone (509) 430-3936

Other providers in Pasco, WA

All providers in Pasco, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.