Vixai Nackviseth LMP

NPI 1033423942 - Massage Therapist - 225700000X

NPI Details
NPI 1033423942
Gender Male
Enumeration Date 08/03/2010
Last Updated 08/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
17307 SE 272ND ST
COVINGTON WA, 98042-5304, US
Phone (253) 639-2266
Fax (253) 639-8464
Business Location
23925 225TH WAY SE
MAPLE VALLEY WA, 98038-5233, US
Phone (425) 433-0123
Fax (425) 433-0733
Taxonomy Code 225700000X
License State Washington
License Number MA00019004
Remove 1033423942 NPI Number

According to our database, Vixai Nackviseth LMP NPI is 1033423942, taxonomy code is 225700000X and license number is MA00019004, license state is located at Washington. Vixai Nackviseth LMP physically located at 17307 Se 272nd St, Covington WA, 98042-5304. NPI Number Vixai Nackviseth LMP has the Individual type.

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1033423942 NPI number is provided on an as is basis without warranty of any kind. 1033423942 is maintained by the National Plan & Provider Enumeration System. The contents of Vixai Nackviseth LMP are for informational purposes only.