Individual provider · Type 1 NPI

Ty Dannon Kent, LMP

Massage Therapist · Bothell, WA

NPI number 1316368293 Active

Practice location

10117 Main St
Bothell, WA 98011-3425

Fax (425) 806-3915

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60390809 (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 1316368293

Ty Dannon Kent, LMP's National Provider Identifier is 1316368293, issued on Dec 19, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bothell, WA. The record was last updated on Jun 28, 2014.