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NPI Code Detail

MEDICARE: AVA MARIANNA GOMEZ LMT

MEDICARE: AVA MARIANNA GOMEZ 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 TherapistM06865MD
2225700000XMassage TherapistWA

General Provider Information

NPI Number : 1497603633
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA MARIANNA GOMEZ LMT
Provider Business Mailing Address
First Line : 409 W MERCER ST APT 204
Second Line :
City : SEATTLE
State : WA
Zip : 98119-3945
Country : US
Telephone Number : 443-442-9219
Fax Number :
Provider Business Practice Location Address
First Line : 160 ROY ST
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4162
Country : US
Telephone Number : 206-453-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ AVA MARIANNA GOMEZ LMT” Practice Location

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