KIRSTEN KNICKERBOCKER

Massage Therapist

Active Individual
NPI: 1194079053

Practice Address

11314 4TH AVE W
Everett, WA 98204

Phone: (425) 355-3736

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes MA60299863 (WA)

Frequently Asked Questions

NPI 1194079053 is the National Provider Identifier for KIRSTEN KNICKERBOCKER, a Massage Therapist provider located in Everett, WA. This NPI was enumerated on October 30, 2012.
KIRSTEN KNICKERBOCKER practices at 11314 4TH AVE W, Everett, WA 98204.

Quick Facts

NPI
1194079053
Type
Individual
Enumerated
Oct 30, 2012
Last Updated
Oct 30, 2012

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