TYSON MIX
NPI 1841676772
Massage Therapist in Tumwater, WA
- Individual
- Male
- Massage Therapist
About TYSON MIX
This page provides the complete NPI Profile along with additional information for Tyson Mix, a provider established in Tumwater, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1841676772 assigned on August 2015. The practitioner's primary taxonomy code is 225700000X with license number MA 60479878 (WA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1841676772 Verify this NPI
- Provider Name
- TYSON MIX
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 622 S 3RD AVE SW TUMWATER, WA 98512
- Location Phone
- (360) 628-2088
- Mailing Address
- 622 S 3RD AVE SW TUMWATER, WA 98512
- Mailing Phone
- (360) 628-2088
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-03-2015
- Last Update Date
- 08-03-2015
- 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.
- MA 60479878
- 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 1841676772, enumerated as an "individual" on August 03, 2015.
The provider is located at 622 S 3RD AVE SW TUMWATER, WA 98512 and the phone number is (360) 628-2088.
Massage Therapist with taxonomy code 225700000X.
