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Theresa G Lystad, LMP
Massage Therapist in Spokane Valley, Washington
NPI 1669526372

Theresa G Lystad is a Massage Therapist based in Spokane Valley, WA. Theresa G Lystad practices in Spokane Valley, WA and has the professional credentials of LMP. The NPI Number for Theresa G Lystad is 1669526372 and holds a License No. MA00010270 (Washington).

The current practice location address for Theresa G Lystad is 12905 E Sprague Ave, Spokane Valley, WA and can be reached out via phone at 509-922-0303 and via fax at 509-922-0657.

Location: 12905 E Sprague Ave, Spokane Valley, WA, 99216-0731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669526372
Provider Name
Theresa G Lystad
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
12905 E Sprague Ave, Spokane Valley, WA, 99216-0731
Phone Number
509-922-0303
Fax Number
509-922-0657
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8942606 01 WA CRIME VICTIMS ID #
5339L4 01 ASURIS PROVIDER ID #
0173324 01 WA LABOR & INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
12905 E Sprague Ave
City
Spokane Valley
State
Washington
Zip
99216-0731
Phone Number
509-922-0303
Fax Number
509-922-0657
person
Provider Business Mailing Address Details
Address
12905 E Sprague Ave
City
Spokane Valley
State
Washington
Zip
99216-0731
Phone Number
509-922-0303
Fax Number
509-922-0657
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00010270 (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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