Vixai Nackviseth, LMP

NPI #1033423942 in Covington, Washington

Provider Information

NPI Number: 1033423942
Entity Type: Individual
Name: Vixai Nackviseth, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 17307 SE 272ND ST
Address 2: SUITE 126
City: Covington
State: Washington
ZIP Code: 98042-5304
Phone: (253) 639-2266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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