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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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
1	225700000X	Massage Therapist		MA61091263	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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