Individual provider · Type 1 NPI
Jessica M. Divens, LMT
Massage Therapist · Olympia, WA
NPI number
1053896779
Active
Practice location
222 Kenyon St NW Ste 16
Olympia, WA 98502-4578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60869309 (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 1053896779
Jessica M. Divens, LMT's National Provider Identifier is 1053896779, issued on Sep 27, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Nov 30, 2020.