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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60270805 (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.