Kozelisky, Kelly D

Kozelisky, Kelly D is an individual health care provider with primary practice located at 6603 220Th St Sw Ste 1C , Mountlake Terrace WA 98043-2186. 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. Kozelisky, Kelly D can be contacted via phone (425) 776-1056.

Contact Information

Primary practice address
6603 220Th St Sw Ste 1C Mountlake Terrace WA 98043-2186
Phone: (425) 776-1056
Fax: (425) 776-4357
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MAOOO12309 Washington

Profile Details

NPI number 1851460885
LBN Legal business name Kozelisky, Kelly D
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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