Individual provider · Type 1 NPI

Coral A. Van Dyne, LMP

Massage Therapist · Spokane, WA

NPI number 1629371455 Active

Practice location

505 E 3rd Ave
Spokane, WA 99202-1426

Call (509) 838-2531 Map

Mailing address

400 E 5th Ave
Spokane, WA 99202-1334

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA0025124 (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 1629371455

Coral A. Van Dyne, LMP's National Provider Identifier is 1629371455, issued on Dec 16, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane, WA. The record was last updated on Dec 16, 2010.