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Marisa Diane Pendergrass, LMP
Massage Therapist in Spokane, Washington
NPI 1376746495

Marisa Diane Pendergrass is a Massage Therapist based in Spokane, WA. Marisa Diane Pendergrass practices in Spokane, WA and has the professional credentials of LMP. The NPI Number for Marisa Diane Pendergrass is 1376746495 and holds a License No. MA00022848 (Washington).

The current practice location address for Marisa Diane Pendergrass is 1303 S Grand Blvd, Spokane, WA and can be reached out via phone at 509-838-2225 and via fax at 509-755-2225. You can also correspond with Marisa Diane Pendergrass through the mailing address at 1303 S GRAND BLVD, SPOKANE, WA - 99202-1136 (mailing address contact number: 509-838-2225).

Location: 1303 S Grand Blvd, Spokane, WA, 99202-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376746495
Provider Name
Marisa Diane Pendergrass
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1303 S Grand Blvd, Spokane, WA, 99202-1136
Phone Number
509-838-2225
Fax Number
509-755-2225
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1303 S Grand Blvd
City
Spokane
State
Washington
Zip
99202-1136
Phone Number
509-838-2225
Fax Number
509-755-2225
person
Provider Business Mailing Address Details
Address
1303 S Grand Blvd
City
Spokane
State
Washington
Zip
99202-1136
Phone Number
509-838-2225
Fax Number
509-755-2225
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00022848 (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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