Penta Leslee Swanson, LMT
Massage Therapist in Seattle, WA. Individual provider (NPI-1).
NPI number1982206447
StatusActive
Last updated in NPPESNov 20, 2020
Details
- NPI
- 1982206447
- Entity type
- Individual (NPI-1)
- Name
- Penta Leslee Swanson
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2020
- Certification date
- Nov 20, 2020
- Last updated
- Nov 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 61021833 | WA | Yes |
Practice location
2600 Sw Barton St Ste A24Seattle, WA 98126-3993
Phone 206-453-5397
Mailing address
2410 53rd Ave SwSeattle, WA 98116-1806
Phone 206-507-2612
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