Theresa G Lystad in Spokane Valley - Massage Therapist
Theresa G Lystad - NPI 1669526372
Theresa G Lystad is a Massage Therapist in Spokane Valley, Washington. Theresa G Lystad practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Theresa G Lystad is 1669526372. The last update date is 2007-07-08.
Theresa G Lystad's current location address is 12905 E Sprague Ave, Spokane Valley, Washington. You can contact this provider via phone number 5099220303 and fax number 5099220657. The mailing address for Theresa G Lystad is 12905 E Sprague Ave, Spokane Valley, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa G Lystad |
|---|---|
| Address | 12905 E Sprague Ave, Spokane Valley, Washington |
| Phone Number | 5099220303 |
| Fax Number | 5099220657 |
| Sole Proprietor | N |
| Credentials | L.M.P. |
NPI Number Detail
| NPI Number | 1669526372 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12905 E Sprague Ave |
|---|---|
| City | Spokane Valley |
| State | Washington (WA) |
| Post Code | 992160731 |
| Phone Number | 5099220303 |
| Fax Number | 5099220657 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA00010270 |
|
Definition: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8942606 | WA | CRIME VICTIMS ID # | |
| 5339L4 | ASURIS PROVIDER ID # | ||
| 173324 | WA | LABOR & INDUSTRIES |
Post Comment/ Review Below
What is the Theresa G Lystad's 1669526372?
The Theresa G Lystad's NPI (National Provider Identifier) Number is 1669526372. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Theresa G Lystad is physically located?
The Theresa G Lystad is physically situated at the following address: 12905 E Sprague Ave, Spokane Valley, WA, 992160731.
What is Theresa G Lystad's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theresa G Lystad is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.
On what date did the Theresa G Lystad receive its 1669526372 assignment from the Centers for Medicare & Medicaid Services?
The Theresa G Lystad was assigned its 1669526372 by the Centers for Medicare & Medicaid Services on 2007-01-22.
As of what date was the information regarding Theresa G Lystad, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa G Lystad, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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