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Jutta Fonseca, MA61091263
Massage Therapist in Olympia, Washington
NPI 1801407002

Jutta Fonseca is a Massage Therapist based in Lacey, WA. Jutta Fonseca practices in Olympia, WA and has the professional credentials of MA61091263. The NPI Number for Jutta Fonseca is 1801407002 and holds a License No. MA61091263 (Washington).

The current practice location address for Jutta Fonseca is 8604 Pacific Ave Se, Olympia, WA and can be reached out via phone at 253-678-0598.

Location: 8604 Pacific Ave Se, Olympia, WA, 98503-2459
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801407002
Provider Name
Jutta Fonseca
Credential
MA61091263
Provider Entity Type
Individual
Gender
Female
Address
8604 Pacific Ave Se, Olympia, WA, 98503-2459
Phone Number
253-678-0598
Fax Number
Provider Enumeration Date
08/11/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8604 Pacific Ave Se
City
Olympia
State
Washington
Zip
98513-2008
Phone Number
253-678-0598
Fax Number
person
Provider Business Mailing Address Details
Address
8604 Pacific Ave Se
City
Olympia
State
Washington
Zip
98513-2008
Phone Number
253-678-0598
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61091263 (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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