Individual provider · Type 1 NPI

Jennifer Virivong, MASSAGE THERAPIST

Massage Therapist · Lacey, WA

NPI number 1558852889 Active

Practice location

8650 Martin Way E Ste 207
Lacey, WA 98516-6610

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00016538 (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 1558852889

Jennifer Virivong, MASSAGE THERAPIST's National Provider Identifier is 1558852889, issued on May 22, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lacey, WA. The record was last updated on May 22, 2018.