Individual provider · Type 1 NPI

Alexander Icariah Gomez, LMT

Massage Therapist · Kennewick, WA

NPI number 1780490722 Active

Practice location

3030 W Clearwater Ave Ste 150
Kennewick, WA 99336-2948

Mailing address

426 W 16th Ave
Kennewick, WA 99337-4735

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61374752 (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 1780490722

Alexander Icariah Gomez, LMT's National Provider Identifier is 1780490722, issued on Dec 4, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kennewick, WA. The record was last updated on Dec 4, 2024.