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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00024640 (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.