NPI 1972959112

Kelsey Weiland Lmp

Organisation Exclusive Provider Organization Gig Harbor, WA

Practice location

Address: 5358 33rd Ave NW, Gig Harbor, WA 98335-1773
Phone: (253) 853-7580
Mailing address: 11117 149th Ave CT Kpn, Gig Harbor, WA 98329

Authorised official

Name: Kelsey M Weiland
Title: Massage Therapist
Phone: (360) 742-4328

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MA60096383 (WA)

Other Exclusive Provider Organization providers in Washington →

Registry record

NPI: 1972959112
Entity type: Organization
NPI issued: 6 May 2016
Record last updated: 6 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.