Individual provider · Type 1 NPI
Raena Bennett, LMT
Massage Therapist · Lake Stevens, WA
NPI number
1316552334
Active
Practice location
1904 125th Ave NE
Lake Stevens, WA 98258-9628
Mailing address
PO Box 1314
Lake Stevens, WA 98258-1314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 61090940 (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 1316552334
Raena Bennett, LMT's National Provider Identifier is 1316552334, issued on Sep 15, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Aug 8, 2022.