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Mary Radene Givens, LMT
Massage Therapist in Lacey, Washington
NPI 1043928716

Mary Radene Givens is a Massage Therapist based in Olympia, WA. Mary Radene Givens practices in Lacey, WA and has the professional credentials of LMT. The NPI Number for Mary Radene Givens is 1043928716 and holds a License No. MA61354209 (Washington).

The current practice location address for Mary Radene Givens is 130 Marvin Rd Se Ste 105, Lacey, WA and can be reached out via phone at 360-939-1634.

Location: 130 Marvin Rd Se Ste 105, Lacey, WA, 98502-8349
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043928716
Provider Name
Mary Radene Givens
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
130 Marvin Rd Se Ste 105, Lacey, WA, 98502-8349
Phone Number
360-939-1634
Fax Number
Provider Enumeration Date
11/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 Marvin Rd Se Ste 105
City
Lacey
State
Washington
Zip
98503-6102
Phone Number
360-939-1634
Fax Number
person
Provider Business Mailing Address Details
Address
130 Marvin Rd Se Ste 105
City
Lacey
State
Washington
Zip
98503-6102
Phone Number
360-939-1634
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61354209 (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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