Individual provider · Type 1 NPI
Boualoy Manivanh Abando, LMP
Massage Therapist · Tukwila, WA
NPI number
1205039153
Active
Practice location
689 Strander Blvd Bldg C
Tukwila, WA 98188-2922
Mailing address
1017 S Cloverdale St
Seattle, WA 98108-4744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00024146 (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 1205039153
Boualoy Manivanh Abando, LMP's National Provider Identifier is 1205039153, issued on Jun 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tukwila, WA. The record was last updated on Apr 18, 2008.