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Alejandro Ray Southard-resa
Massage Therapist in Lynnwood, Washington
NPI 1033578216

Alejandro Ray Southard-resa is a Massage Therapist based in Bothell, WA. Alejandro Ray Southard-resa practices in Lynnwood, WA. The NPI Number for Alejandro Ray Southard-resa is 1033578216 and holds a License No. MA60620179 (Washington).

The current practice location address for Alejandro Ray Southard-resa is 2902 164Th St Sw Suite D1, Lynnwood, WA and can be reached out via phone at 425-745-2500.

Location: 2902 164Th St Sw Suite D1, Lynnwood, WA, 98012-9719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033578216
Provider Name
Alejandro Ray Southard-resa
Credential
Provider Entity Type
Individual
Gender
Male
Address
2902 164Th St Sw Suite D1, Lynnwood, WA, 98012-9719
Phone Number
425-745-2500
Fax Number
Provider Enumeration Date
02/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2902 164Th St Sw Suite D1
City
Lynnwood
State
Washington
Zip
98087-8801
Phone Number
425-745-2500
Fax Number
person
Provider Business Mailing Address Details
Address
2902 164Th St Sw Suite D1
City
Lynnwood
State
Washington
Zip
98087-8801
Phone Number
425-745-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60620179 (Washington)
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.
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