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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KELLY DAWN ANISSIPOUR, LMP

Active Sole Proprietor

MISS KELLY DAWN ANISSIPOUR, LMP is a Massage Therapist healthcare provider located in FEDERAL WAY, Washington. NPI 1023382306 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · FEDERAL WAY, WA

Registration Details

NPI Number
1023382306
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2012 (14.434161162864 yrs)
Last Updated
Sep 28, 2021
License
MA00009700 (WA)
Sole Proprietor
Yes

Practice Information

Address
33440 1ST WAY S # 8
FEDERAL WAY, WA, 980036222
Browse WA providers · Browse ZIP 98003
Phone
2067300155
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in FEDERAL WAY, WA

Name Credential NPI
SCOTT E HUNT LMP 1821081969
ELIZABETH I ALLEN LMP 1578557922
TABATHA J HARGIS LMP 1336255371
TOURAAN MARQUE SMITH LMP 1396826277
MR. WENDELL R EASLEY LMP 1942382049
CATHERINE ELIZABETH YOUNG LMP 1760565683
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.