MISS MARICHELLE MERCADO GAMOLO LMP
NPI 1760667125
Massage Therapist in Auburn, WA
Active since January 04, 2008
About Miss Marichelle Mercado Gamolo Lmp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MARICHELLE MERCADO GAMOLO LMP (NPI 1760667125) is an individual massage therapist in Auburn, Washington, licensed in Washington (MA00024991) and active in the NPI registry since January 2008.
NPPES Registry Identity
NPI1760667125
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS MARICHELLE MERCADO GAMOLOCredential: LMP
Location Address5725 S 294TH PL, APT #I204Auburn, WA 98001-2106
Mailing Address5725 S 294th PlAuburn, WA 98001-2106 · (206) 779-9096
Phone(206) 779-9096
Sole ProprietorYes
Enumeration DateJanuary 4, 2008
Last NPPES UpdateJune 17, 2009
✔ NPI 1760667125 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 · MA00024991
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.
5725 S 294TH PL, Auburn, WA 98001
Other Names 1
Other Name (5)Mrs. Marichelle Gamolo Ceresoli
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760667125, enumerated as an "individual" on January 04, 2008.
The provider is located at 5725 S 294TH PL APT #I204 AUBURN, WA 98001 and the phone number is (206) 779-9096.
Massage Therapist with taxonomy code 225700000X.