Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | WA |
NPI | 1013480805 |
---|---|
Provider Name | Mrs. Nicola L Semb |
First Address | Spokane, WA 99205-1718 |
Second Address | Spokane, WA 99205-1718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2019 |
Last Update Date | 04/01/2019 |