Individual provider · Type 1 NPI

Lopaka Thanh Son Los Banos

Massage Therapist · Yelm, WA

NPI number 1134587090 Active

Practice location

35617 WA-507
Yelm, WA 98597

Mailing address

14701 C St S Apt 61
Tacoma, WA 98444-7222

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60608509 (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 1134587090

Lopaka Thanh Son Los Banos's National Provider Identifier is 1134587090, issued on Feb 8, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yelm, WA. The record was last updated on Feb 8, 2016.