Individual provider · Type 1 NPI

Carla Bone Priddy, LMP

Massage Therapist · Vancouver, WA

NPI number 1114390168 Active

Practice location

12504 NW 36th Ave
Vancouver, WA 98685-2227

Call (360) 836-5317 Map

Mailing address

2712 NW 118th Circle
Vancouver, WA 98685

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60479768 (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 1114390168

Carla Bone Priddy, LMP's National Provider Identifier is 1114390168, issued on Nov 12, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 12, 2015.