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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61354209 (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 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.