Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00014515 | WA |
NPI | 1023149747 |
---|---|
Provider Name | Terri Muraglia |
First Address | Renton, WA 98055-1405 |
Second Address | Renton, WA 98055-1405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/07/2007 |