Provider Demographics
NPI:1679242473
Name:OSWOOD, KIRSTEN MARY LYNN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:MARY LYNN
Last Name:OSWOOD
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 N 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-3185
Mailing Address - Country:US
Mailing Address - Phone:360-683-3981
Mailing Address - Fax:
Practice Address - Street 1:532 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3185
Practice Address - Country:US
Practice Address - Phone:360-683-7911
Practice Address - Fax:360-683-3981
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA61136721225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist