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Tiana Bolden, Massage Practitioner

Massage Therapist in Yakima, WA. Individual provider (NPI-1).

NPI number1295272425
StatusActive
Last updated in NPPESJan 26, 2017

Details

NPI
1295272425
Entity type
Individual (NPI-1)
Name
Tiana Bolden
Credential
Massage Practitioner
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2017
Last updated
Jan 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA60637644WAYes

Practice location

399 E Yakima Ave
Yakima, WA 98901-4519

Phone 509-225-4772

Mailing address

100 1/2 S Pearl St
Ellensburg, WA 98926-3329

Phone 509-929-3163

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