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GLISTEN TANNING SPA & SALON LLC NPI 1356859540


NPI Information

NPI: 1356859540
Provider Name: GLISTEN TANNING SPA & SALON, LLC

Doing Business As: GLISTEN TANNING SPA & SALON

Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
5603 SUMMITVIEW AVE STE 100
YAKIMA, WA
ZIP 98908
Phone: (509) 895-7383
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GLISTEN TANNING SPA & SALON, LLC is a massage therapist in Yakima, WA. The provider is 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. GLISTEN TANNING SPA & SALON, LLC NPI is 1356859540. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Glisten Tanning Spa & Salon.

The provider's business location address is:

5603 SUMMITVIEW AVE STE 100
YAKIMA, WA
ZIP 98908-018
Phone: (509) 895-7383
Fax: (509) 895-7739

The provider's authorized official is Nicole Reyes .
The authorized official title is President, Lmp and has the following contact phone number (509) 895-7383.

The enumeration date for this NPI number is 1/22/2018 and was last updated on 1/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA60523229WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1604042951OTHERWASHINGTONUBI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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