MRS. MARVIA SUSANNE HALL LMT
NPI 1043943681
Massage Therapist in Lake Tapps, WA
Active since July 01, 2022
About Mrs. Marvia Susanne Hall Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARVIA SUSANNE HALL LMT (NPI 1043943681) is an individual massage therapist in Lake Tapps, Washington, licensed in Washington (61241337) and active in the NPI registry since July 2022.
NPPES Registry Identity
NPI1043943681
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. MARVIA SUSANNE HALLCredential: LMT
Location Address17020 27TH ST ELake Tapps, WA 98391
Mailing Address17020 27th St ELake Tapps, WA 98391 · (701) 446-6063
Phone(701) 446-6063
Sole ProprietorYes
Enumeration DateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1043943681 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WA · 61241337
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
17020 27TH ST E, Lake Tapps, WA 98391
Other Names 1
Former Name (1)Marvia Susanne Gilstrap Lmt
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043943681, enumerated as an "individual" on July 01, 2022.
The provider is located at 17020 27TH ST E LAKE TAPPS, WA 98391 and the phone number is (701) 446-6063.
Massage Therapist with taxonomy code 225700000X.
