Individual provider · Type 1 NPI

Breanne M. Green, LMP

Massage Therapist · Bonney Lake, WA

NPI number 1710218672 Active

Practice location

21157 State Route 410 E
Bonney Lake, WA 98391-8457

Call (253) 862-4441 Map

Mailing address

PO Box 757
Enumclaw, WA 98022-0757

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00012855 (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 1710218672

Breanne M. Green, LMP's National Provider Identifier is 1710218672, issued on Jan 15, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bonney Lake, WA. The record was last updated on Jan 15, 2010.