ADILENE GONZALEZ LMT - NPI 1316587090 - Massage Therapist in Kennewick, WA

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Adilene Gonzalez Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADILENE GONZALEZ LMT (NPI 1316587090) is an individual massage therapist in Kennewick, Washington, licensed in Washington (MA60986899) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1316587090

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameADILENE GONZALEZCredential: LMT

Location Address8350 W GRANDRIDGE BLVD STE 100Kennewick, WA 99336-1678

Mailing Address8350 W Grandridge Blvd Ste 100Kennewick, WA 99336-1678 · (509) 737-1400 · Fax (509) 737-1406

Phone(509) 737-1400

Fax(509) 737-1406

Sole ProprietorNo

Enumeration DateJanuary 10, 2020

Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2021

✔ NPI 1316587090 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 · MA60986899

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.

8350 W GRANDRIDGE BLVD STE 100, Kennewick, WA 99336

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Other Identifiers 1

OtherMA60986899WA · State License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAIME MARIE REAGAN LMT

Massage Therapist