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Tia Richelle White, LMP
Massage Therapist in Vancouver, Washington
NPI 1366825424

Tia Richelle White is a Massage Therapist based in Vancouver, WA. Tia Richelle White practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Tia Richelle White is 1366825424 and holds a License No. MA60542566 (Washington).

The current practice location address for Tia Richelle White is 1905 Se 158Th Ave, Vancouver, WA and can be reached out via phone at 360-608-3429.

Location: 1905 Se 158Th Ave, Vancouver, WA, 98683-9065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366825424
Provider Name
Tia Richelle White
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1905 Se 158Th Ave, Vancouver, WA, 98683-9065
Phone Number
360-608-3429
Fax Number
Provider Enumeration Date
07/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1905 Se 158Th Ave
City
Vancouver
State
Washington
Zip
98683-9065
Phone Number
360-608-3429
Fax Number
person
Provider Business Mailing Address Details
Address
1905 Se 158Th Ave
City
Vancouver
State
Washington
Zip
98683-9065
Phone Number
360-608-3429
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60542566 (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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