Jessica Ketter
Massage Therapist
1115 Black Lake Blvd Sw Ste A
Olympia
, Washington 98502-1026
Jessica Ketter
Massage Therapist
1115 Black Lake Blvd Sw Ste A
Olympia
, Washington 98502-1026
(360) 292-3448
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Jessica Ketter
- 1520 Maple Valley Rd Sw
- Olympia, WA
- Zip : 98512-9417
- Phone : (360) 292-3448
Second Address
- Jessica Ketter
- 1115 Black Lake Blvd Sw Ste A
- Olympia, WA
- Zip : 98502-1026
- Fax : (360) 236-0649
- Phone : (360) 357-7585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60135795 | WA |
National Provider Identifier
| NPI | 1003130063 |
|---|---|
| Provider Name | Jessica Ketter |
| First Address | Olympia, WA 98512-9417 |
| Second Address | Olympia, WA 98502-1026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2010 |
| Last Update Date | 19/03/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.