Individual provider · Type 1 NPI
Mary Radene Givens, LMT
Massage Therapist · Lacey, WA
NPI number
1043928716
Active
Practice location
130 Marvin Rd SE Ste 105
Lacey, WA 98503-6102
Mailing address
800 Yauger Way SW Unit K201
Olympia, WA 98502-8349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA61354209 (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.
Another provider at this address
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About NPI 1043928716
Mary Radene Givens, LMT's National Provider Identifier is 1043928716, issued on Nov 10, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on Nov 10, 2022.