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Irena V Potseluyko, LMT
Massage Therapist in Kent, Washington
NPI 1972099018

Irena V Potseluyko is a Massage Therapist based in Kent, WA. Irena V Potseluyko practices in Kent, WA and has the professional credentials of LMT. The NPI Number for Irena V Potseluyko is 1972099018 and holds a License No. MA60832939 (Washington).

The current practice location address for Irena V Potseluyko is 25854 108Th Ave Se, Kent, WA and can be reached out via phone at 206-227-2735 and via fax at 253-852-2828.

Location: 25854 108Th Ave Se, Kent, WA, 98030-7671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972099018
Provider Name
Irena V Potseluyko
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
25854 108Th Ave Se, Kent, WA, 98030-7671
Phone Number
206-227-2735
Fax Number
253-852-2828
Provider Enumeration Date
07/02/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA60832939 01 WA LMT LICENSE
institution
Provider Business Practice Location Address Details
Address
25854 108Th Ave Se
City
Kent
State
Washington
Zip
98030-7737
Phone Number
206-227-2735
Fax Number
253-852-2828
person
Provider Business Mailing Address Details
Address
25854 108Th Ave Se
City
Kent
State
Washington
Zip
98030-7737
Phone Number
206-227-2735
Fax Number
253-852-2828
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60832939 (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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