Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00000594 | WA |
NPI | 1003973124 |
---|---|
Provider Name | Ms. Tasnim Marsha Harris |
First Address | Seattle, WA 98105-3164 |
Second Address | Seattle, WA 98103-7273 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |