Tara Lyn Jean Fletcher, LMT
Massage Therapist in Enumclaw, WA. Individual provider (NPI-1).
NPI number1023757366
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1023757366
- Entity type
- Individual (NPI-1)
- Name
- Tara Lyn Jean Fletcher
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2022
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA61313051 | WA | Yes |
Practice location
1427 Jefferson Ave Ste 202Enumclaw, WA 98022-3649
Phone 360-388-0409
Mailing address
27622 Se 401st StEnumclaw, WA 98022-9722
Phone 360-388-0409
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All 47 Massage Therapist providers in Enumclaw · All 466 providers in Enumclaw
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