Doctor Name: | MISS DESIRE ADRIENNA HOLLAND |
NPI Number: | 1407076912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT LMP |
License Number: | MA00020873 |
Business Practice Address: | 12305 120th Ave Ne #a Kirkland, WA - 98034 |
Business Phone Number: | 4258202777 |
Business Fax Number: | 4258215528 |
Mailing Address: | 12305 120th Ave Ne, #a KIRKLAND |
State: | WA |
Postal Code: | 98034 |
Phone Number: | 4258202777 |
Fax Number: | 4258215528 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA00020873 |
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. |