Individual provider · Type 1 NPI

Tina Marie Anderson, LMP

Massage Therapist · Winlock, WA

NPI number 1063739167 Active

Practice location

346 Russell Rd
Winlock, WA 98596-9522

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60126580 (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 1063739167

Tina Marie Anderson, LMP's National Provider Identifier is 1063739167, issued on Apr 28, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winlock, WA. The record was last updated on Apr 28, 2010.