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Ivan Pokazanyev
Massage Therapist in Shoreline, Washington
NPI 1699200444

Ivan Pokazanyev is a Massage Therapist based in Shoreline, WA. Ivan Pokazanyev practices in Shoreline, WA. The NPI Number for Ivan Pokazanyev is 1699200444 and holds a License No. MA 60714834 (Washington).

The current practice location address for Ivan Pokazanyev is 1562 Ne 177Th St Apt 105, Shoreline, WA and can be reached out via phone at 206-306-5407.

Location: 1562 Ne 177Th St Apt 105, Shoreline, WA, 98155-5287
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699200444
Provider Name
Ivan Pokazanyev
Credential
Provider Entity Type
Individual
Gender
Male
Address
1562 Ne 177Th St Apt 105, Shoreline, WA, 98155-5287
Phone Number
206-306-5407
Fax Number
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1562 Ne 177Th St Apt 105
City
Shoreline
State
Washington
Zip
98155-5287
Phone Number
206-306-5407
Fax Number
person
Provider Business Mailing Address Details
Address
1562 Ne 177Th St Apt 105
City
Shoreline
State
Washington
Zip
98155-5287
Phone Number
206-306-5407
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 60714834 (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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