Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARIAM GEDEVANISHVILI
Active Sole ProprietorMassage Therapist · KENT, WA
Registration Details
- NPI Number
- 1083778104
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2006 (19.365939831736 yrs)
- Last Updated
- Jun 11, 2012
- License
-
MA60058598 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10700 SE 208TH ST STE 207KENT, WA, 980315545Browse WA providers · Browse ZIP 98031
- Phone
- 2067551758
- Fax
- 2538332686
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Massage Therapist
Other Massage Therapist Providers in KENT, WA
| Name | Credential | NPI |
|---|---|---|
| LISA J MCCANN | LMP | 1194749119 |
| MARY ANN KURTH | LMPC, CLT | 1396754628 |
| KELLY N MILLER | LMP | 1518039544 |
| KIERSTEN R BUCHONIS | LMP | 1245305101 |
| ELIZABETH ANN OVER | LMP | 1487729372 |
| MS. HOLLIE IRISH | LMP | 1619031713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.