MISS KELLY DAWN ANISSIPOUR LMP
NPI 1023382306
Massage Therapist in Federal Way, WA
Active since March 03, 2012
About Miss Kelly Dawn Anissipour Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY DAWN ANISSIPOUR LMP (NPI 1023382306) is an individual massage therapist in Federal Way, Washington, licensed in Washington (MA00009700) and active in the NPI registry since March 2012.
NPPES Registry Identity
NPI1023382306
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS KELLY DAWN ANISSIPOURCredential: LMP
Location Address33440 1ST WAY S # 8Federal Way, WA 98003-6222
Mailing AddressPo Box 24924Federal Way, WA 98093-1924 · (206) 730-0155
Phone(206) 730-0155
Sole ProprietorYes
Enumeration DateMarch 3, 2012
Last NPPES UpdateSeptember 28, 2021
NPPES CertifiedSeptember 28, 2021
✔ NPI 1023382306 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · MA00009700
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
33440 1ST WAY S # 8, Federal Way, WA 98003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023382306, enumerated as an "individual" on March 03, 2012.
The provider is located at 33440 1ST WAY S # 8 FEDERAL WAY, WA 98003 and the phone number is (206) 730-0155.
Massage Therapist with taxonomy code 225700000X.
