Doctor Name: | AGYNESS G LYON |
NPI Number: | 1295936599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P. |
License Number: | 00006036 |
Business Practice Address: | 15027 Aurora Ave N Shoreline, WA - 981336134 |
Business Phone Number: | 2063623520 |
Business Fax Number: | |
Mailing Address: | 321 Boylston Ave E Apt 305, Seattle Wa SEATTLE |
State: | WA |
Postal Code: | 981025345 |
Phone Number: | 2068562884 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 06/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 00006036 |
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. |