Tatiana Kolchanova, MA60322858

NPI #1669191391 in Washougal, Washington

Provider Information

NPI Number: 1669191391
Entity Type: Individual
Name: Tatiana Kolchanova, MA60322858
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MA60322858
Enumeration Date: Aug 25, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 33605 NE 23RD ST
City: Washougal
State: Washington
ZIP Code: 98671-8202
Phone: (503) 807-3038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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