Individual provider · Type 1 NPI
Anita L. Funseth, L.M.P.
Massage Therapist · Longview, WA
NPI number
1679790851
Active
Practice location
1318 Washington Way Ste B
Longview, WA 98632-3974
Fax (360) 425-6905
Mailing address
2527 30th Ave
Longview, WA 98632-4364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00009138 (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 1679790851
Anita L. Funseth, L.M.P.'s National Provider Identifier is 1679790851, issued on Apr 19, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Longview, WA. The record was last updated on Jul 8, 2007.