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Lisa Carole Pestana
Massage Therapist in Vancouver, Washington
NPI 1972214526

Lisa Carole Pestana is a Massage Therapist based in Vancouver, WA. Lisa Carole Pestana practices in Vancouver, WA. The NPI Number for Lisa Carole Pestana is 1972214526 and holds a License No. WAMA60574634 (Washington).

The current practice location address for Lisa Carole Pestana is 703 Broadway St Ste 500, Vancouver, WA and can be reached out via phone at 360-690-0081.

Location: 703 Broadway St Ste 500, Vancouver, WA, 98660-3307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972214526
Provider Name
Lisa Carole Pestana
Credential
Provider Entity Type
Individual
Gender
Female
Address
703 Broadway St Ste 500, Vancouver, WA, 98660-3307
Phone Number
360-690-0081
Fax Number
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 Broadway St Ste 500
City
Vancouver
State
Washington
Zip
98660-3307
Phone Number
360-690-0081
Fax Number
person
Provider Business Mailing Address Details
Address
703 Broadway St Ste 500
City
Vancouver
State
Washington
Zip
98660-3307
Phone Number
360-690-0081
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
WAMA60574634 (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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