JUTTA FONSECA MA61091263 NPI 1801407002

NPI Information

  • NPI: 1801407002
  • Provider Name: JUTTA FONSECA, MA61091263
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 8604 PACIFIC AVE SE
    OLYMPIA, WA
    ZIP 98513
  • Phone: (253) 678-0598

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NPI Details

Jutta Fonseca, MA61091263 is a massage therapist in Olympia, 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. Jutta Fonseca, MA61091263 NPI is 1801407002. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8604 PACIFIC AVE SE
OLYMPIA, WA
ZIP 98513-008
Phone: (253) 678-0598

The enumeration date for this NPI number is 8/11/2020 and was last updated on 8/11/2020.

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
1225700000XMassage TherapistMA61091263WASHINGTONYes

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: 3/30/2025

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