SHONELLE UILANI PASCUA GONGOB LMP NPI 1245588490

NPI Information

NPI: 1245588490
Provider Name: SHONELLE UILANI PASCUA GONGOB, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7308 BRIDGEPORT WAY W
STE. 103
LAKEWOOD, WA
ZIP 98499
Phone: (253) 582-8142
Get Directions

Shonelle Uilani Pascua Gongob, LMP is a massage therapist in Lakewood, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Shonelle Uilani Pascua Gongob, LMP NPI is 1245588490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7308 BRIDGEPORT WAY W
STE. 103
LAKEWOOD, WA
ZIP 98499-000
Phone: (253) 582-8142
Fax: (253) 582-8160

The enumeration date for this NPI number is 8/20/2012 and was last updated on 8/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60290683	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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