Engeseth, Kelly Lyn
Engeseth, Kelly Lyn is an sole proprietor health care provider with primary practice located at 1101 Avenue D Ste D207 , Snohomish WA 98290-2004. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Engeseth, Kelly Lyn can be contacted via phone (360) 563-0209.Contact Information
Primary practice address
1101 Avenue D Ste D207
Snohomish WA 98290-2004
Phone: (360) 563-0209
Fax: (360) 563-0243
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00013819 | Washington |
Profile Details
| NPI number | 1730232034 |
|---|---|
| LBN Legal business name | Engeseth, Kelly Lyn |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730232034 | NPPES |
| Washington | Other | 156239 | WA ST L&I |
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