Individual provider · Type 1 NPI
Se Na Mazanec, LMT, MMP
Massage Therapist · Burke, VA
NPI number
1053049536
Active
Practice location
9554 Old Keene Mill Rd Ste D
Burke, VA 22015-4287
Mailing address
9145 Broken Oak Pl
Burke, VA 22015-3566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 0019018301 (VA) |
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 1053049536
Se Na Mazanec, LMT, MMP's National Provider Identifier is 1053049536, issued on Aug 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burke, VA. The record was last updated on Aug 11, 2022.