Individual provider · Type 1 NPI

Jessica Baca, LMP

Massage Therapist · Covington, WA

NPI number 1326219619 Active

Practice location

27116 167th Pl SE, 114
Covington, WA 98042-7341

Call (253) 630-6614 Map

Fax (253) 630-6624

Mailing address

12932 SE Kent Kangley Rd, 438
Kent, WA 98030-7940

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00025110 (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 1326219619

Jessica Baca, LMP's National Provider Identifier is 1326219619, issued on Mar 14, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Covington, WA. The record was last updated on Mar 14, 2008.