Individual provider · Type 1 NPI

Laurie Lanza, MA

Massage Therapist · Ridgefield, WA

NPI number 1104216613 Active

Practice location

414 Pioneer St Ste 101
Ridgefield, WA 98642-4512

Mailing address

1610 S Phoebe Dr
Ridgefield, WA 98642-9275

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X60444960 (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 1104216613

Laurie Lanza, MA's National Provider Identifier is 1104216613, issued on Feb 4, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ridgefield, WA. The record was last updated on Feb 4, 2015.