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Penny Lee Vance
Massage Therapist in Bothell, Washington
NPI 1699980912

Penny Lee Vance is a Massage Therapist based in Everett, WA. Penny Lee Vance practices in Bothell, WA. The NPI Number for Penny Lee Vance is 1699980912 and holds a License No. MA00023588 (Washington).

The current practice location address for Penny Lee Vance is 20611 Bothell Everett Hwy, Bothell, WA and can be reached out via phone at 425-487-0487.

Location: 20611 Bothell Everett Hwy, Bothell, WA, 98204-7968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699980912
Provider Name
Penny Lee Vance
Credential
Provider Entity Type
Individual
Gender
Female
Address
20611 Bothell Everett Hwy, Bothell, WA, 98204-7968
Phone Number
425-487-0487
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0219208 01 WA WORKERS COMP.
institution
Provider Business Practice Location Address Details
Address
20611 Bothell Everett Hwy
City
Bothell
State
Washington
Zip
98012-7146
Phone Number
425-487-0487
Fax Number
person
Provider Business Mailing Address Details
Address
20611 Bothell Everett Hwy
City
Bothell
State
Washington
Zip
98012-7146
Phone Number
425-487-0487
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00023588 (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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