MRS. Charyle Rae Tasanasanta, L.M.P. /MASSAGE THER

NPI #1326511973 in Woodinville, Washington

Provider Information

NPI Number: 1326511973
Entity Type: Individual
Name: MRS. Charyle Rae Tasanasanta, L.M.P. /MASSAGE THER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.P. /MASSAGE THER
Enumeration Date: Jan 7, 2019
Last Updated: Jan 8, 2019

Practice Location

Address: 17311 NE 175TH AVE, BUILDING C, SUITE 100
City: Woodinville
State: Washington
ZIP Code: 98072
Phone: (425) 330-3097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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