Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00013900 | WA |
NPI | 1003088261 |
---|---|
Provider Name | Marnie Valenta |
First Address | Seattle, WA 98122-0353 |
Second Address | Seattle, WA 98118-1101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2008 |
Last Update Date | 28/03/2008 |