Ms. Kristie Kay Fitchett-Wagner
Massage Therapist
219 W 3rd Ave
Ellensburg
, Washington 98926-3026
Ms. Kristie Kay Fitchett-Wagner
Massage Therapist
219 W 3rd Ave
Ellensburg
, Washington 98926-3026
(509) 312-4533
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Ms. Kristie Kay Fitchett-Wagner
- 110 W 6th Ave 235
- Ellensburg, WA
- Zip : 98926-3106
- Phone : (509) 312-4533
Second Address
- Ms. Kristie Kay Fitchett-Wagner
- 219 W 3rd Ave
- Ellensburg, WA
- Zip : 98926-3026
- Phone : (509) 925-4533
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00025336 | WA |
National Provider Identifier
| NPI | 1003083262 |
|---|---|
| Provider Name | Ms. Kristie Kay Fitchett-Wagner |
| First Address | Ellensburg, WA 98926-3106 |
| Second Address | Ellensburg, WA 98926-3026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/05/2008 |
| Last Update Date | 15/05/2008 |
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.