Provider Demographics
NPI:1730383746
Name:MESSER ERICKSON, KATHY MARIE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:MARIE
Last Name:MESSER ERICKSON
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1418 S PIONEER WAY
Mailing Address - Street 2:SUITE E
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837
Mailing Address - Country:US
Mailing Address - Phone:509-766-8416
Mailing Address - Fax:509-766-6878
Practice Address - Street 1:1418 S PIONEER WAY
Practice Address - Street 2:SUITE E
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837
Practice Address - Country:US
Practice Address - Phone:509-766-8416
Practice Address - Fax:509-766-6878
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00007959225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist