Individual provider · Type 1 NPI
Quincy Vidauri, LMP
Massage Therapist · Burien, WA
NPI number
1780812917
Active
Practice location
120 SW 160th St
Burien, WA 98166-3025
Mailing address
432 Main Ave N
North Bend, WA 98045-8237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Reflexologist | 173C00000X | MA60076727 (WA) |
| Massage Therapist Primary | 225700000X | MA60076727 (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.
4 other providers at this address
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About NPI 1780812917
Quincy Vidauri, LMP's National Provider Identifier is 1780812917, issued on Jun 25, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burien, WA. The record was last updated on Sep 22, 2009.