Individual provider · Type 1 NPI
Andrea Bullock, LMP
Massage Therapist · Yakima, WA
NPI number
1881029692
Active
Practice location
402 W Washington Ave Apt E
Yakima, WA 98903-1400
Mailing address
418 S 50th Ave
Yakima, WA 98908-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60400375 (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 1881029692
Andrea Bullock, LMP's National Provider Identifier is 1881029692, issued on Sep 11, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Yakima, WA. The record was last updated on Sep 11, 2013.