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NPI 1437084738

NPI 1437084738 : MOLLY GARZA MASSAGE THERAPIST : GRANDVIEW, WA

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General NPI Number Information
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    NPI Number           |    1437084738
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    Entity Type          |    Individual 
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    Provider Name        |    MOLLY GARZA MASSAGE THERAPIST
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/17/2026
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    Last Update Date     |    06/17/2026
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Provider Practice Location Address
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    Address Line         |    403 N EUCLID ST 
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    City                 |    GRANDVIEW
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    State                |    WA
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    Zip                  |    98930-9407
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    Country              |    US
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    Telephone            |    509-402-9020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    105 WHISKEY DR 
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    City                 |    GRANDVIEW
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    State                |    WA
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    Zip                  |    98930-6114
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    61413194
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    License Number State |    WA
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