Individual provider · Type 1 NPI

Kendra Bukovac, MT

Massage Therapist · Tacoma, WA

NPI number 1447790472 Active

Practice location

1033 N Tacoma Ave
Tacoma, WA 98403-2928

Mailing address

303 Dalton Ln
Zillah, WA 98953-9309

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X60408092 (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 1447790472

Kendra Bukovac, MT's National Provider Identifier is 1447790472, issued on Feb 23, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on Feb 23, 2017.