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Marisa Crisostomo, LMT
Massage Therapist in Vancouver, Washington
NPI 1407562127

Marisa Crisostomo is a Massage Therapist based in Camas, WA. Marisa Crisostomo practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Marisa Crisostomo is 1407562127 and holds a License No. MA61252026 (Washington).

The current practice location address for Marisa Crisostomo is 100 E 19Th St, Vancouver, WA and can be reached out via phone at 360-313-6465.

Location: 100 E 19Th St, Vancouver, WA, 98607-7570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407562127
Provider Name
Marisa Crisostomo
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
100 E 19Th St, Vancouver, WA, 98607-7570
Phone Number
360-313-6465
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 E 19Th St
City
Vancouver
State
Washington
Zip
98663-3395
Phone Number
360-313-6465
Fax Number
person
Provider Business Mailing Address Details
Address
100 E 19Th St
City
Vancouver
State
Washington
Zip
98663-3395
Phone Number
360-313-6465
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61252026 (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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