Doctor Name: | MS. VIRGINIA AZZOPARDI |
NPI Number: | 1215194956 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MASSAGE PRACTITIONER |
License Number: | MA60002458 |
Business Practice Address: | 7101 West Hood Place Suite 102 Kennewick, WA - 99336 |
Business Phone Number: | 5093744719 |
Business Fax Number: | 5093743873 |
Mailing Address: | Po Box 21, Tranquil Waters Massage Therapy Clinic RICHLAND |
State: | WA |
Postal Code: | 99352 |
Phone Number: | 5093744719 |
Fax Number: | 5093743873 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60002458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |