Individual provider · Type 1 NPI

Elvira Lily Rose, LMP

Massage Therapist · Yakima, WA

NPI number 1780053413 Active

Practice location

3808 Tieton Dr Ste 1
Yakima, WA 98902-3691

Fax (509) 972-0980

Mailing address

408 Poplar Ave
Yakima, WA 98902-2152

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60270805 (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 1780053413

Elvira Lily Rose, LMP's National Provider Identifier is 1780053413, issued on Sep 23, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yakima, WA. The record was last updated on Sep 23, 2015.