Individual provider · Type 1 NPI

Tammy Rena Thiessen, LMP

Massage Therapist · Bothell, WA

NPI number 1023301306 Active

Practice location

10117 Main Street
Bothell, WA 98011

Fax (425) 806-3915

Mailing address

P.o. Box 2072
Bothell, WA 98041

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60224600 (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 1023301306

Tammy Rena Thiessen, LMP's National Provider Identifier is 1023301306, issued on May 19, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bothell, WA. The record was last updated on May 19, 2011.