Individual provider · Type 1 NPI
Mary Leann Powers, B.A., L.M.P., SOMA
Massage Therapist · Olympia, WA
NPI number
1639398084
Active
Practice location
2626 12th Ct SW, Suite 8
Olympia, WA 98502-1016
Mailing address
5611 Cedar Flats Rd SW
Olympia, WA 98512-9415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00006811 (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 1639398084
Mary Leann Powers, B.A., L.M.P., SOMA's National Provider Identifier is 1639398084, issued on Apr 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Jul 8, 2007.