Individual provider · Type 1 NPI

Taya Countryman, LMT

Massage Therapist · Lake Stevens, WA

NPI number 1184772287 Active

Practice location

12511 44th St NE
Lake Stevens, WA 98258-9586

Call (425) 422-3449 Map

Mailing address

303 91 Ave NE G701 #221
Everett, WA 98205

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00001130 (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 1184772287

Taya Countryman, LMT's National Provider Identifier is 1184772287, issued on Jan 8, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Jul 8, 2007.