Individual provider · Type 1 NPI

Tyra Ann Berggren, LMP

Massage Therapist · Stanwood, WA

NPI number 1023342029 Active

Practice location

15820 62nd Ave NW
Stanwood, WA 98292

Call (425) 931-3849 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60103848 (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 1023342029

Tyra Ann Berggren, LMP's National Provider Identifier is 1023342029, issued on Sep 23, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stanwood, WA. The record was last updated on Sep 23, 2009.