Organization Name: | LAKE FOREST PARK ACUPUNCTURE AND MASSAGE |
NPI Number: | 1306208830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIERAN MCMANIMON (OWNER/PARTNER/MASSAGE THERAPIST) |
Mailing Address: | 18724 35th Ave Ne Lake Forest Park |
State: | WA US |
Postal Code: | 981552602 |
Phone Number: | 2069627620 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA60228942 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |