Individual provider · Type 1 NPI

Jadie Matta

Massage Therapist · Stevenson, WA

NPI number 1194107193 Active

Practice location

27 SW Russell Ave Lowr Suite
Stevenson, WA 98648-9198

Call (509) 427-3600 Map

Fax (509) 427-3601

Mailing address

PO Box 1498
Stevenson, WA 98648-1498

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 00019429 (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 1194107193

Jadie Matta's National Provider Identifier is 1194107193, issued on Jun 25, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stevenson, WA. The record was last updated on Jun 25, 2015.