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NPI Code Detail

MEDICARE: XIOLA SABASTIAN

MEDICARE: XIOLA SABASTIAN
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 Therapist

General Provider Information

NPI Number : 1548632938
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIOLA SABASTIAN
Provider Business Mailing Address
First Line : 2207 N MOLTER RD STE 250
Second Line :
City : LIBERTY LAKE
State : WA
Zip : 99019-7582
Country : US
Telephone Number : 509-893-9939
Fax Number :
Provider Business Practice Location Address
First Line : 2207 N MOLTER RD STE 250
Second Line :
City : LIBERTY LAKE
State : WA
Zip : 99019-7582
Country : US
Telephone Number : 509-893-9939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2015
Last Update Date : 12/02/2015

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Directions to “ XIOLA SABASTIAN ” Practice Location

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