Individual provider · Type 1 NPI

Anna M. Petruolo, LMP

Massage Therapist · Vancouver, WA

NPI number 1255384764 Active

Practice location

2006 Main St
Vancouver, WA 98660-2637

Mailing address

2600 NE Minnehaha St, #49
Vancouver, WA 98665-1300

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00018016 (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 1255384764

Anna M. Petruolo, LMP's National Provider Identifier is 1255384764, issued on May 18, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.