Individual provider · Type 1 NPI
Ruslan Sudakov, LMP
Massage Therapist · Seattle, WA
NPI number
1962877209
Active
Practice location
9318 Stone Ave N, Apt 7
Seattle, WA 98103-3377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 60490728 (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 1962877209
Ruslan Sudakov, LMP's National Provider Identifier is 1962877209, issued on Dec 12, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Dec 12, 2015.