NPI 1508209420

Terri Lynn Kilbourne, MA

Practitioner Specialist Enumclaw, WA

Practice location

Address: 1710 Railroad Street Enumclaw Day Spa, Enumclaw, WA 98022
Phone: (360) 825-5755
Mailing address: 62408 Forest Glen Way E, Enumclaw, WA 98022-8088

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA 00004895 (WA)

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Registry record

NPI: 1508209420
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Apr 2013
Record last updated: 10 Apr 2013

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.