Individual provider · Type 1 NPI

Jutta Fonseca, MA61091263

Massage Therapist · Olympia, WA

NPI number 1801407002 Active

Practice location

8604 Pacific Ave SE
Olympia, WA 98513-2008

Call (253) 678-0598 Map

Mailing address

5815 Lacey Blvd SE # 5885
Lacey, WA 98503-2459

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61091263 (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 1801407002

Jutta Fonseca, MA61091263's National Provider Identifier is 1801407002, issued on Aug 11, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Aug 11, 2020.