Taya Countryman, LMT
NPI #1184772287 in Lake Stevens, Washington
Provider Information
- NPI Number
- 1184772287
- Entity Type
- Individual
- Name
- Taya Countryman, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 12511 44TH ST NE
- City
- Lake Stevens
- State
- Washington
- ZIP Code
- 98258-9586
- Phone
- (425) 422-3449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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