Individual provider · Type 1 NPI
Tyrone Lamonte Green Jr.
Massage Therapist · Federal Way, WA
NPI number
1477052215
Active
Practice location
622 S 320th St Unit B
Federal Way, WA 98003-5263
Mailing address
224 S 346th Ln Apt D60
Federal Way, WA 98003-6781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60824040 (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 1477052215
Tyrone Lamonte Green Jr.'s National Provider Identifier is 1477052215, issued on Feb 7, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Federal Way, WA. The record was last updated on Jul 21, 2022.