NPI 1003026022

Lily Ilnitsky

Practitioner Massage Therapist Federal Way, WA

Practice location

Address: 2130 S 314th St, Federal Way, WA 98003-5479
Phone: (253) 709-3649
Mailing address: 30823 18th Ave S APT B202, Federal Way, WA 98003-4946

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA00018516 (WA)

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Registry record

NPI: 1003026022
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2007
Record last updated: 8 Jul 2007

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.