BREANNE M GREEN LMP - NPI 1710218672 - Massage Therapist in Bonney Lake, WA

Q: What is the provider's specialty?

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

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About Breanne M Green Lmp NPPES

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

BREANNE M GREEN LMP (NPI 1710218672) is an individual massage therapist in Bonney Lake, Washington, licensed in Washington (MA00012855) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1710218672

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameBREANNE M GREENCredential: LMP

Location Address21157 STATE ROUTE 410 EBonney Lake, WA 98391-8457

Mailing AddressPo Box 757Enumclaw, WA 98022-0757 · (253) 862-4441

Phone(253) 862-4441

Sole ProprietorNo

Enumeration DateJanuary 15, 2010

✔ NPI 1710218672 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 · MA00012855

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.

21157 STATE ROUTE 410 E, Bonney Lake, WA 98391

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