NPI 1033578216

Alejandro Ray Southard-Resa

Practitioner Massage Therapist Lynnwood, WA

Practice location

Address: 2902 164th St SW Suite D1, Lynnwood, WA 98087-8801
Phone: (425) 745-2500
Mailing address: 1325 191st Pl SE, Bothell, WA 98012-9719

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA60620179 (WA)

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Registry record

NPI: 1033578216
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Feb 2016
Record last updated: 17 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.