Jessica M Divens, LMT

NPI #1053896779 in Olympia, Washington

Provider Information

NPI Number: 1053896779
Entity Type: Individual
Name: Jessica M Divens, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 27, 2018
Last Updated: Nov 30, 2020

Practice Location

Address: 222 KENYON ST NW STE 16
City: Olympia
State: Washington
ZIP Code: 98502-4578
Phone: (360) 464-0247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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