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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730232034 NPPES
Washington Other 156239 WA ST L&I

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