person
Mr. Tyrone Lamonte Green JR.
Massage Therapist in Federal Way, Washington
NPI 1477052215

Tyrone Lamonte Green JR. is a Massage Therapist based in Federal Way, WA. Tyrone Lamonte Green JR. practices in Federal Way, WA. The NPI Number for Tyrone Lamonte Green JR. is 1477052215 and holds a License No. MA60824040 (Washington).

The current practice location address for Tyrone Lamonte Green JR. is 622 S 320Th St Unit B, Federal Way, WA and can be reached out via phone at 206-460-5004.

Location: 622 S 320Th St Unit B, Federal Way, WA, 98003-6781
person
Provider Profile Details
NPI Number
1477052215
Provider Name
Tyrone Lamonte Green JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
622 S 320Th St Unit B, Federal Way, WA, 98003-6781
Phone Number
206-460-5004
Fax Number
Provider Enumeration Date
02/07/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GREENTL135BS 01 WA DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
622 S 320Th St Unit B
City
State
Zip
98003-5263
Phone Number
206-460-5004
Fax Number
person
Provider Business Mailing Address Details
Address
622 S 320Th St Unit B
City
State
Zip
98003-5263
Phone Number
206-460-5004
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA60824040 (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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