ELIZABETH ROSEMUND CUSTODIO NPI 1376041004

NPI Information

NPI: 1376041004
Provider Name: ELIZABETH ROSEMUND CUSTODIO
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2103 147TH STREET CT E
TACOMA, WA
ZIP 98445
Phone: (253) 330-6582
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Elizabeth Rosemund Custodio is a massage therapist in Tacoma, 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. Elizabeth Rosemund Custodio NPI is 1376041004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2103 147TH STREET CT E
TACOMA, WA
ZIP 98445-014
Phone: (253) 330-6582
Fax: (253) 330-6582

The enumeration date for this NPI number is 1/29/2018 and was last updated on 1/29/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60829391	WASHINGTON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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