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NPI Code Detail

MEDICARE: GEOVANA LIZETH HERNANDEZ LMT

MEDICARE: GEOVANA LIZETH HERNANDEZ 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 Therapist70040146WA

General Provider Information

NPI Number : 1205785193
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEOVANA LIZETH HERNANDEZ LMT
Provider Business Mailing Address
First Line : 11133 GRANDVIEW RD
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-8660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 415 N OLYMPIC AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1244
Country : US
Telephone Number : 360-435-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ GEOVANA LIZETH HERNANDEZ LMT” Practice Location

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