Tammy Rena Thiessen, LMP

NPI #1023301306 in Bothell, Washington

Provider Information

NPI Number: 1023301306
Entity Type: Individual
Name: Tammy Rena Thiessen, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 19, 2011
Last Updated: May 19, 2011

Practice Location

Address: 10117 MAIN STREET
City: Bothell
State: Washington
ZIP Code: 98011
Phone: (425) 806-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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