Individual provider · Type 1 NPI
Lily Ilnitsky
Massage Therapist · Federal Way, WA
NPI number
1003026022
Active
Practice location
2130 S 314th St
Federal Way, WA 98003-5479
Mailing address
30823 18th Ave S Apt B202
Federal Way, WA 98003-4946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00018516 (WA) |
Massage Therapist: 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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About NPI 1003026022
Lily Ilnitsky's National Provider Identifier is 1003026022, issued on May 22, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Federal Way, WA. The record was last updated on Jul 8, 2007.