Kittilson, Andrea Lyn
Kittilson, Andrea Lyn is an individual health care provider with primary practice located at 721 M St. S.E. Suite #105, Auburn WA 98002. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Kittilson, Andrea Lyn can be contacted via phone (253) 939-9599.Contact Information
Primary practice address
721 M St. S.E. Suite #105
Auburn WA 98002
Phone: (253) 939-9599
Fax: (253) 804-5655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00015434 | Washington |
Profile Details
| NPI number | 1689724874 |
|---|---|
| LBN Legal business name | Kittilson, Andrea Lyn |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689724874 | NPPES |
| Washington | Other | 0194690 | L & I |
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