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Mariam Gedevanishvili
Massage Therapist in Kent, Washington
NPI 1083778104

Mariam Gedevanishvili is a Massage Therapist based in Covington, WA. Mariam Gedevanishvili practices in Kent, WA. The NPI Number for Mariam Gedevanishvili is 1083778104 and holds a License No. (Washington).

The current practice location address for Mariam Gedevanishvili is 10700 Se 208Th St Ste 207, Kent, WA and can be reached out via phone at 206-755-1758 and via fax at 253-833-2686. You can also correspond with Mariam Gedevanishvili through the mailing address at 18622 SE 265TH ST, COVINGTON, WA - 98042-8421 (mailing address contact number: 206-755-1758).

Location: 10700 Se 208Th St Ste 207, Kent, WA, 98042-8421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083778104
Provider Name
Mariam Gedevanishvili
Credential
Provider Entity Type
Individual
Gender
Female
Address
10700 Se 208Th St Ste 207, Kent, WA, 98042-8421
Phone Number
206-755-1758
Fax Number
253-833-2686
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10700 Se 208Th St Ste 207
City
Kent
State
Washington
Zip
98031-5545
Phone Number
206-755-1758
Fax Number
253-833-2686
person
Provider Business Mailing Address Details
Address
18622 Se 265Th St
City
Covington
State
Washington
Zip
98042-8421
Phone Number
206-755-1758
Fax Number
253-883-2686
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Nutritionist
Speciality
Nutrition, Education
Taxonomy
133NN1002X
License No.
MA60058598 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
()
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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