Individual provider · Type 1 NPI

Tierra Marie Trettevik, LMP

Massage Therapist · Bellevue, WA

NPI number 1104006402 Active

Practice location

14700 NE 8th St Ste 115
Bellevue, WA 98007-4115

Mailing address

4290 164th Way SE
Issaquah, WA 98027-9066

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00024878 (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 1104006402

Tierra Marie Trettevik, LMP's National Provider Identifier is 1104006402, issued on Nov 5, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Nov 5, 2007.