Individual provider · Type 1 NPI

Antoinette Faustino

Massage Therapist · Vancouver, WA

NPI number 1134495005 Active

Practice location

1610 C St Ste 103
Vancouver, WA 98663-3400

Call (360) 694-0300 Map

Mailing address

16530 NW Joscelyn St
Beaverton, OR 97006-5258

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60077356 (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 1134495005

Antoinette Faustino's National Provider Identifier is 1134495005, issued on Mar 26, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 26, 2012.