MEDICARE: MS. TOVAH RAINSONG 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	MA 60114834	WA

General Provider Information

NPI Number	:	1942524319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TOVAH RAINSONG LMP

Provider Business Mailing Address
First Line	:	2631 WALNUT ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-2338
Country	:	US
Telephone Number	:	360-676-7308
Fax Number	:

Provider Business Practice Location Address
First Line	:	119 N. COMMERCIAL STREET
Second Line	:	SUITE 420
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-4437
Country	:	US
Telephone Number	:	360-201-0124
Fax Number	:

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

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	03/15/2010

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