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NPI Code Detail

MEDICARE: MS. TASNIM MARSHA HARRIS LMT

MEDICARE:  MS. TASNIM MARSHA HARRIS  LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA00000594WA

General Provider Information

NPI Number : 1003973124
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TASNIM MARSHA HARRIS LMT
Provider Business Mailing Address
First Line : 2901 NE BLAKELEY ST
Second Line : #231
City : SEATTLE
State : WA
Zip : 98105-3164
Country : US
Telephone Number : 206-779-9302
Fax Number : 206-522-0531
Provider Business Practice Location Address
First Line : 4464 FREMONT AVE N
Second Line : #102
City : SEATTLE
State : WA
Zip : 98103-7273
Country : US
Telephone Number : 206-779-9302
Fax Number : 206-522-0531
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 07/08/2007

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Directions to “ MS. TASNIM MARSHA HARRIS LMT” Practice Location

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