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Pandora Justina Liess
Massage Therapist in West Richland, Washington
NPI 1124782271

Pandora Justina Liess is a Massage Therapist based in Benton City, WA. Pandora Justina Liess practices in West Richland, WA. The NPI Number for Pandora Justina Liess is 1124782271 and holds a License No. 61104204 (Washington).

The current practice location address for Pandora Justina Liess is 4791 W Van Giesen St, West Richland, WA and can be reached out via phone at 509-967-2225.

Location: 4791 W Van Giesen St, West Richland, WA, 99320-9515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124782271
Provider Name
Pandora Justina Liess
Credential
Provider Entity Type
Individual
Gender
Female
Address
4791 W Van Giesen St, West Richland, WA, 99320-9515
Phone Number
509-967-2225
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61104204 01 WA MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
4791 W Van Giesen St
City
West Richland
State
Washington
Zip
99353-5085
Phone Number
509-967-2225
Fax Number
person
Provider Business Mailing Address Details
Address
4791 W Van Giesen St
City
West Richland
State
Washington
Zip
99353-5085
Phone Number
509-967-2225
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61104204 (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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