Individual provider · Type 1 NPI
Gabrielle Laura Benson, LMT
Massage Therapist · Ridgefield, WA
NPI number
1316069339
Active
Practice location
108 S Main Ave
Ridgefield, WA 98642-3820
Mailing address
506 Maple St
Ridgefield, WA 98642-4507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 12400 (OR) |
| Massage Therapist Primary | 225700000X | MA61335708 (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 1316069339
Gabrielle Laura Benson, LMT's National Provider Identifier is 1316069339, issued on Apr 3, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ridgefield, WA. The record was last updated on Dec 6, 2023.