KENDRA BUKOVAC MT - NPI 1447790472 - Massage Therapist in Tacoma, WA

Q: What is Kendra Bukovac's NPI number?

The NPI number for Kendra Bukovac is 1447790472. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Q: What is Kendra Bukovac's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Bukovac was last updated on February 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kendra Bukovac Mt NPPES

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

KENDRA BUKOVAC MT (NPI 1447790472) is an individual massage therapist in Tacoma, Washington, licensed in Washington (60408092) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1447790472

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameKENDRA BUKOVACCredential: MT

Location Address1033 N TACOMA AVETacoma, WA 98403-2928

Mailing Address303 Dalton LnZillah, WA 98953-9309 · (360) 829-7951

Phone(253) 474-9670

Sole ProprietorYes

Enumeration DateFebruary 23, 2017

✔ NPI 1447790472 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 · 60408092

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.

1033 N TACOMA AVE, Tacoma, WA 98403

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Other Providers at the Same Location NPPES 7

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

TACOMA FAMILY CHIROPRACTIC INC., P.S.

Chiropractor