Individual provider · Type 1 NPI
Kate Ida Marcello, LMP
Massage Therapist · Lacey, WA
NPI number
1063583607
Active
Practice location
4412 Pacific Ave SE # 205
Lacey, WA 98503-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00018752 (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 1063583607
Kate Ida Marcello, LMP's National Provider Identifier is 1063583607, issued on Nov 13, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on Sep 18, 2008.