Tyson Mix

NPI #1841676772 in Tumwater, Washington

Provider Information

NPI Number: 1841676772
Entity Type: Individual
Name: Tyson Mix
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 3, 2015
Last Updated: Aug 3, 2015

Practice Location

Address: 622 S 3RD AVE SW
City: Tumwater
State: Washington
ZIP Code: 98512-6895
Phone: (360) 628-2088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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