Individual provider · Type 1 NPI

Marisa Diane Pendergrass, LMP

Massage Therapist · Spokane, WA

NPI number 1376746495 Active

Practice location

1303 S Grand Blvd
Spokane, WA 99202-1136

Call (509) 838-2225 Map

Fax (509) 755-2225

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00022848 (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 1376746495

Marisa Diane Pendergrass, LMP's National Provider Identifier is 1376746495, issued on Jun 6, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane, WA. The record was last updated on Oct 10, 2014.