is a Massage Therapist in , . practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for is 1801005293. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1801005293 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | |
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Massage Therapist |
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Taxonomy | 225700000X |
Licence No | 7895 |
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 |
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242821 | WA | L&I | |
LMT-LIC 7895 | MT | MASSAGE THERAPIST | |
8949448 | WA | DSHS | |
348851 | MT | CNA | |
4581GA | WA | REGENCE |
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