Doctor Name: | MS. SAMANTHA HOLCOMB |
NPI Number: | 1457778334 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.P. |
License Number: | |
Business Practice Address: | 10622 Se Carr Rd Suite A Renton, WA - 980555406 |
Business Phone Number: | 4252772225 |
Business Fax Number: | |
Mailing Address: | 15718 117th Ave Se, RENTON |
State: | WA |
Postal Code: | 980584670 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/28/2014 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |