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NPI Code Detail

MEDICARE: CELESTE ROMO

MEDICARE:   CELESTE  ROMO
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 TherapistMA00020270

General Provider Information

NPI Number : 1780752246
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE ROMO
Provider Business Mailing Address
First Line : 1800 COOKS HILL RD
Second Line : SUITE A
City : CENTRALIA
State : WA
Zip : 98531-9072
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1800 COOKS HILL RD
Second Line : SUITE A
City : CENTRALIA
State : WA
Zip : 98531-9072
Country : US
Telephone Number : 360-736-2853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ CELESTE ROMO ” Practice Location

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