Teresa Marie Guajardo in Olympia - Massage Therapist

Teresa Marie Guajardo - NPI 1063680940

Teresa Marie Guajardo is a Massage Therapist in Olympia, Washington. Teresa Marie Guajardo practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Teresa Marie Guajardo is 1063680940. The last update date is 2010-12-16.

Teresa Marie Guajardo's current location address is 509 12th Ave Se, Olympia, Washington. You can contact this provider via phone number 3607897025 and fax number 3603573080. The mailing address for Teresa Marie Guajardo is 509 12th Ave Se, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Marie Guajardo
Address 509 12th Ave Se, Olympia, Washington
Phone Number 3607897025
Fax Number 3603573080
Sole Proprietor Y
Credentials MA, LMP, L

NPI Number Detail

NPI Number 1063680940
Provider Enumeration Date 2008-02-13
Last Updated Date 2010-12-16

Provider Mailing Address Detail

Address 509 12th Ave Se
City Olympia
State Washington (WA)
Post Code 985017514
Phone Number 3607897025
Fax Number 3603573080

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00015038
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
151447 WA LABOR AND INDUSTRIES
2950925 WA COMMUNITY HEALTH PLAN OF
9841519 WA CRIME VICTIMS COMPENSATIO
8943959 WA CRIME VICTIMS COMPENSATIO

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FAQs about Teresa Marie Guajardo

What is the unique 10-digit identification code assigned to Teresa Marie Guajardo by the Centers for Medicare & Medicaid Services?

The Teresa Marie Guajardo has been issued the NPI (National Provider Identifier) 1063680940, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Teresa Marie Guajardo is physically located?

The Teresa Marie Guajardo is physically situated at the following address: 509 12Th Ave Se, Olympia, WA, 985017514.

What is the Teresa Marie Guajardo's specialty and taxonomy code?

The Teresa Marie Guajardo's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.

On what date did Teresa Marie Guajardo receive its 1063680940 assignment from the Centers for Medicare & Medicaid Services?

The Teresa Marie Guajardo was assigned its 1063680940 on 2008-02-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Teresa Marie Guajardo last refreshed?

The information related to the Teresa Marie Guajardo, including its address, specialty, and other relevant details, was last updated on 2010-12-16.

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