Individual provider · Type 1 NPI

Phounsavanth La Niravanh, LMP

Massage Therapist · Spokane Valley, WA

NPI number 1124378658 Active

Practice location

325 S Sullivan Rd, Suite B
Spokane Valley, WA 99037-6019

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60307876 (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 1124378658

Phounsavanth La Niravanh, LMP's National Provider Identifier is 1124378658, issued on Sep 12, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane Valley, WA. The record was last updated on Sep 12, 2012.