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Teresa Pantoja, MA60989127
Massage Therapist in Mount Vernon, Washington
NPI 1215602453

Teresa Pantoja is a Massage Therapist based in Mount Vernon, WA. Teresa Pantoja practices in Mount Vernon, WA and has the professional credentials of MA60989127. The NPI Number for Teresa Pantoja is 1215602453 and holds a License No. MA60989127 (Washington).

The current practice location address for Teresa Pantoja is 1420 Roosevelt Ave Suite 6, Mount Vernon, WA and can be reached out via phone at 360-550-0712.

Location: 1420 Roosevelt Ave Suite 6, Mount Vernon, WA, 98273-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215602453
Provider Name
Teresa Pantoja
Credential
MA60989127
Provider Entity Type
Individual
Gender
Female
Address
1420 Roosevelt Ave Suite 6, Mount Vernon, WA, 98273-3604
Phone Number
360-550-0712
Fax Number
Provider Enumeration Date
08/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0412159 01 WA MASSAGE
institution
Provider Business Practice Location Address Details
Address
1420 Roosevelt Ave Suite 6
City
Mount Vernon
State
Washington
Zip
98273
Phone Number
360-550-0712
Fax Number
person
Provider Business Mailing Address Details
Address
1420 Roosevelt Ave Suite 6
City
Mount Vernon
State
Washington
Zip
98273
Phone Number
360-550-0712
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60989127 (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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