SANDRA OETTLE LMP
NPI 1790024784
Massage Therapist in Tukwila, WA
- Individual
- Female
- Massage Therapist
About SANDRA OETTLE
This page provides the complete NPI Profile along with additional information for Sandra Oettle, a provider established in Tukwila, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1790024784 assigned on February 2013. The practitioner's primary taxonomy code is 225700000X with license number MA60332291 (WA). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1790024784 Verify this NPI
- Provider Name
- SANDRA OETTLE LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4520 SOUTHCENTER BLVD I 112 TUKWILA, WA 98188
- Location Phone
- (425) 647-8656
- Mailing Address
- 4520 SOUTHCENTER BLVD I 112 TUKWILA, WA 98188
- Mailing Phone
- (425) 647-8656
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-11-2013
- Last Update Date
- 02-11-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA60332291
- License State
- WA
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790024784, enumerated as an "individual" on February 11, 2013.
The provider is located at 4520 SOUTHCENTER BLVD I 112 TUKWILA, WA 98188 and the phone number is (425) 647-8656.
Massage Therapist with taxonomy code 225700000X.
