Individual provider · Type 1 NPI
Marian Elizabeth Shustov, LMT
Massage Therapist · Sammamish, WA
NPI number
1073012233
Active
Practice location
3054 255th Ave SE
Sammamish, WA 98075-9436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60715760 (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 1073012233
Marian Elizabeth Shustov, LMT's National Provider Identifier is 1073012233, issued on Feb 2, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sammamish, WA. The record was last updated on Feb 2, 2018.