Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00013613 | WA |
NPI | 1013184936 |
---|---|
Provider Name | Christina Rainwater Strode |
First Address | Manchester, WA 98353-0220 |
Second Address | Port Orchard, WA 98366-2438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 09/05/2008 |