VANESSA K MABRA LMP NPI 1487618054

NPI Information

NPI: 1487618054
Provider Name: VANESSA K MABRA, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
22739 SE 29TH ST
SAMMAMISH, WA
ZIP 98075
Phone: (425) 392-4010
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Vanessa K Mabra, LMP is a massage therapist in Sammamish, 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. Vanessa K Mabra, LMP NPI is 1487618054. 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:

22739 SE 29TH ST
SAMMAMISH, WA
ZIP 98075-532
Phone: (425) 392-4010
Fax: (425) 392-4011

The enumeration date for this NPI number is 4/12/2006 and was last updated on 7/8/2007.

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		MA00011269	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	164121	OTHER	WASHINGTON	DEPT OF LABOR AND INDUSTR
2	8933010	OTHER	WASHINGTON	CRIME VICTIMS
3	9875MC	OTHER	WASHINGTON	REGENCE BLUE SHIELD

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: 5/5/2024

NPI Synchronization or Removal

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