Individual provider · Type 1 NPI
Nancy Kristine Haller, GCFP NCMMT LMP MA
Massage Therapist · Des Moines, WA
NPI number
1649358573
Active
Practice location
821 S 219th St Apt 8
Des Moines, WA 98198-6364
Fax (206) 824-7378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | GCFP1653 (OR) |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 1653 (OR) |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | MA00008877 (WA) |
| Massage Therapist | 225700000X | NCMMT0019 (NC) |
| Massage Therapist Primary | 225700000X | MA00008877 (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 1649358573
Nancy Kristine Haller, GCFP NCMMT LMP MA's National Provider Identifier is 1649358573, issued on Nov 1, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Des Moines, WA. The record was last updated on Mar 31, 2023.