Individual provider · Type 1 NPI
Stormy K. Potter, MASSAGE THERAPIST
Massage Therapist · Kennewick, WA
NPI number
1225309347
Active
Practice location
8136 Grandridge Blvd
Kennewick, WA 99336
Mailing address
425 N Columbia Center Blvd, Apt N104
Kennewick, WA 99336-7716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00024640 (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 1225309347
Stormy K. Potter, MASSAGE THERAPIST's National Provider Identifier is 1225309347, issued on Jan 20, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kennewick, WA. The record was last updated on Jan 20, 2012.