Individual provider · Type 1 NPI

Juan Fidel Santiago Henares, LMT

Massage Therapist · Vancouver, WA

NPI number 1053197160 Active

Practice location

2402 Broadway St
Vancouver, WA 98663-3229

Call (360) 246-6630 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61480559 (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 1053197160

Juan Fidel Santiago Henares, LMT's National Provider Identifier is 1053197160, issued on Sep 5, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Sep 5, 2023.