Ayrton T Ibarra

NPI #1740841113 in Covington, Washington

Provider Information

NPI Number: 1740841113
Entity Type: Individual
Name: Ayrton T Ibarra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jun 25, 2019
Last Updated: Jun 25, 2019

Practice Location

Address: 17615 SE 272ND ST STE 104
City: Covington
State: Washington
ZIP Code: 98042-4957
Phone: (206) 612-1889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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