MEDICARE: TANESHA M HOWE LMP

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
1	225700000X	Massage Therapist	MA60256852	WA

General Provider Information

NPI Number	:	1770853400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANESHA M HOWE LMP

Provider Business Mailing Address
First Line	:	3901 NE 4TH ST
Second Line	:	STE. #109
City	:	RENTON
State	:	WA
Zip	:	98056-4100
Country	:	US
Telephone Number	:	425-277-0577
Fax Number	:	425-277-0652

Provider Business Practice Location Address
First Line	:	3901 NE 4TH ST
Second Line	:	STE. #109
City	:	RENTON
State	:	WA
Zip	:	98056-4100
Country	:	US
Telephone Number	:	425-277-0577
Fax Number	:	425-277-0652

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	01/11/2012

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Directions to “ TANESHA M HOWE LMP” Practice Location

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