Individual provider · Type 1 NPI
Angela Renee Dahlen, LMT
Massage Therapist · Puyallup, WA
NPI number
1093352841
Active
Practice location
10312 120th St E Ste 9
Puyallup, WA 98374-2100
Mailing address
13011 Meridian E Apt H212
Puyallup, WA 98373-9473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 34643 (CA) |
| Massage Therapist Primary | 225700000X | MA.60944090 (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 1093352841
Angela Renee Dahlen, LMT's National Provider Identifier is 1093352841, issued on Nov 27, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Nov 27, 2019.