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Evergreen Massage Therapy, Ps
Specialist in Kent, Washington
NPI 1184996159

Evergreen Massage Therapy, Ps is a Specialist based in Kent, WA. Evergreen Massage Therapy, Ps practices in Kent, WA. The NPI Number for Evergreen Massage Therapy, Ps is 1184996159 and holds a License No. MA00016443 (Washington).

The current practice location address for Evergreen Massage Therapy, Ps is 1048 W James St Ste 104, Kent, WA and can be reached out via phone at 253-850-2800 and via fax at 253-850-2805.

Location: 1048 W James St Ste 104, Kent, WA, 98032-4600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184996159
Provider Name
Evergreen Massage Therapy, Ps
Credential
Provider Entity Type
Organization
Address
1048 W James St Ste 104, Kent, WA, 98032-4600
Phone Number
253-850-2800
Fax Number
253-850-2805
Provider Enumeration Date
02/06/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568786531 01 WA NPI
1851442354 01 WA NPI
1548402183 01 WA NPI
1003032434 01 WA NPI
1649571944 01 WA NPI
1790833879 01 WA NPI
1992862007 01 WA NPI
institution
Provider Business Practice Location Address Details
Address
1048 W James St Ste 104
City
Kent
State
Washington
Zip
98032-4600
Phone Number
253-850-2800
Fax Number
253-850-2805
person
Provider Business Mailing Address Details
Address
1048 W James St Ste 104
City
Kent
State
Washington
Zip
98032-4600
Phone Number
253-850-2800
Fax Number
253-850-2805
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00016443 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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