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Angelika M Petrova
Massage Therapist in Vancouver, Washington
NPI 1093937757

Angelika M Petrova is a Massage Therapist based in Vancouver, WA. Angelika M Petrova practices in Vancouver, WA. The NPI Number for Angelika M Petrova is 1093937757 and holds a License No. MA00017403 (Washington).

The current practice location address for Angelika M Petrova is 5514 Ne 107Th Ave, Vancouver, WA and can be reached out via phone at 360-254-0400 and via fax at 360-254-9022.

Location: 5514 Ne 107Th Ave, Vancouver, WA, 98682-0033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093937757
Provider Name
Angelika M Petrova
Credential
Provider Entity Type
Individual
Gender
Female
Address
5514 Ne 107Th Ave, Vancouver, WA, 98682-0033
Phone Number
360-254-0400
Fax Number
360-254-9022
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0169505 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
5514 Ne 107Th Ave
City
Vancouver
State
Washington
Zip
98662-6346
Phone Number
360-254-0400
Fax Number
360-254-9022
person
Provider Business Mailing Address Details
Address
5514 Ne 107Th Ave
City
Vancouver
State
Washington
Zip
98662-6346
Phone Number
360-254-0400
Fax Number
360-254-9022
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00017403 (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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