Individual provider · Type 1 NPI

Lukela Los Banos

Massage Therapist · Yelm, WA

NPI number 1154949964 Active

Practice location

35617 WA-507
Yelm, WA 98597

Call (808) 779-1815 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60756509 (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 1154949964

Lukela Los Banos's National Provider Identifier is 1154949964, issued on Jul 8, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yelm, WA. The record was last updated on Jul 8, 2020.