Tyra Ann Berggren, LMP

NPI #1023342029 in Stanwood, Washington

Provider Information

NPI Number: 1023342029
Entity Type: Individual
Name: Tyra Ann Berggren, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 23, 2009
Last Updated: Sep 23, 2009

Practice Location

Address: 15820 62ND AVE NW
City: Stanwood
State: Washington
ZIP Code: 98292
Phone: (425) 931-3849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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