Individual provider · Type 1 NPI
Samara R. Thelen, MA
Massage Therapist · Enumclaw, WA
NPI number
1154086593
Active
Practice location
709 Griffin Ave
Enumclaw, WA 98022-3419
Mailing address
219 Jewell St
Enumclaw, WA 98022-7329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00022106 (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.
3 other providers at this address
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About NPI 1154086593
Samara R. Thelen, MA's National Provider Identifier is 1154086593, issued on Nov 1, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Enumclaw, WA. The record was last updated on Nov 1, 2021.