Individual provider · Type 1 NPI

Ana D. Licano, LMP

Massage Therapist · Grandview, WA

NPI number 1104057595 Active

Practice location

310 Division St
Grandview, WA 98930-1359

Call (509) 882-3659 Map

Mailing address

210 Ash St
Grandview, WA 98930-1319

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00024915 (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 1104057595

Ana D. Licano, LMP's National Provider Identifier is 1104057595, issued on Aug 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grandview, WA. The record was last updated on Aug 3, 2009.