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Dr. Vassili Fedorovich Lyssak, PHD
Massage Therapist in Spokane, Washington
NPI 1831305606

Vassili Fedorovich Lyssak is a Massage Therapist based in Spokane, WA. Vassili Fedorovich Lyssak practices in Spokane, WA and has the professional credentials of PHD. The NPI Number for Vassili Fedorovich Lyssak is 1831305606 and holds a License No. MA00007732 (Washington).

The current practice location address for Vassili Fedorovich Lyssak is 2816 E 30Th Ave, Spokane, WA and can be reached out via phone at 509-535-1219 and via fax at 509-535-5782.

Location: 2816 E 30Th Ave, Spokane, WA, 99203-3996
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831305606
Provider Name
Vassili Fedorovich Lyssak
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2816 E 30Th Ave, Spokane, WA, 99203-3996
Phone Number
509-535-1219
Fax Number
509-535-5782
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107210 01 WA LABOR & INDUSTRIES IN.
institution
Provider Business Practice Location Address Details
Address
2816 E 30Th Ave
City
Spokane
State
Washington
Zip
99223-4782
Phone Number
509-535-1219
Fax Number
509-535-5782
person
Provider Business Mailing Address Details
Address
2816 E 30Th Ave
City
Spokane
State
Washington
Zip
99223-4782
Phone Number
509-535-1219
Fax Number
509-535-5782
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00007732 (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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