Individual provider · Type 1 NPI
Dominique Felice Smallwood, LMP
Massage Therapist · Spanaway, WA
NPI number
1396360087
Active
Practice location
17015 4th Ave S
Spanaway, WA 98387-8722
Other practice locations
- 17015 4th Ave S, Spanaway, WA 98387-8722 · (253) 343-7586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA61043254 (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 1396360087
Dominique Felice Smallwood, LMP's National Provider Identifier is 1396360087, issued on Jun 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spanaway, WA. The record was last updated on Jun 9, 2020.