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Leah Marie Ivanoff, LMP
Massage Therapist in Seattle, Washington
NPI 1598099012

Leah Marie Ivanoff is a Massage Therapist based in Seattle, WA. Leah Marie Ivanoff practices in Seattle, WA and has the professional credentials of LMP. The NPI Number for Leah Marie Ivanoff is 1598099012 and holds a License No. MA00020112 (Washington).

The current practice location address for Leah Marie Ivanoff is 3703 California Ave Sw, Seattle, WA and can be reached out via phone at 206-937-3965 and via fax at 206-937-4695.

Location: 3703 California Ave Sw, Seattle, WA, 98116-3771
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598099012
Provider Name
Leah Marie Ivanoff
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3703 California Ave Sw, Seattle, WA, 98116-3771
Phone Number
206-937-3965
Fax Number
206-937-4695
Provider Enumeration Date
09/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00020112 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
3703 California Ave Sw
City
Seattle
State
Washington
Zip
98116-3771
Phone Number
206-937-3965
Fax Number
206-937-4695
person
Provider Business Mailing Address Details
Address
3703 California Ave Sw
City
Seattle
State
Washington
Zip
98116-3771
Phone Number
206-937-3965
Fax Number
206-937-4695
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00020112 (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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