Individual provider · Type 1 NPI

Jessica Lee Van Vallis, MT

Massage Therapist · Tacoma, WA

NPI number 1528633658 Active

Practice location

3901 6th Ave
Tacoma, WA 98406-4940

Call (253) 756-7500 Map

Fax (253) 756-7501

Mailing address

2417 100th Street Ct S Apt C
Tacoma, WA 98444-7360

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X61127280 (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 1528633658

Jessica Lee Van Vallis, MT's National Provider Identifier is 1528633658, issued on May 21, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Tacoma, WA. The record was last updated on May 21, 2021.