Tina Marie Anderson LMP

NPI 1063739167 - Massage Therapist - 225700000X

NPI Details
NPI 1063739167
Gender Female
Enumeration Date 04/28/2010
Last Updated 04/28/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
346 RUSSELL RD
WINLOCK WA, 98596-9522, US
Phone (360) 785-4316
Fax
Business Location
346 RUSSELL RD
WINLOCK WA, 98596-9522, US
Phone (360) 785-4316
Fax
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA60126580
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According to our database, Mrs. Tina Marie Anderson LMP NPI is 1063739167, taxonomy code is 225700000X and license number is MA60126580, license state is located at Washington. Tina Marie Anderson LMP physically located at 346 Russell Rd, Winlock WA, 98596-9522. NPI Number Tina Marie Anderson LMP has the Individual type.

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1063739167 NPI number is provided on an as is basis without warranty of any kind. 1063739167 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Marie Anderson LMP are for informational purposes only.