Provider Demographics
NPI:1003973124
Name:HARRIS, TASNIM MARSHA (LMT)
Entity Type:Individual
Prefix:MS
First Name:TASNIM
Middle Name:MARSHA
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2901 NE BLAKELEY ST
Mailing Address - Street 2:#231
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3164
Mailing Address - Country:US
Mailing Address - Phone:206-779-9302
Mailing Address - Fax:206-522-0531
Practice Address - Street 1:4464 FREMONT AVE N
Practice Address - Street 2:#102
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7273
Practice Address - Country:US
Practice Address - Phone:206-779-9302
Practice Address - Fax:206-522-0531
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMA00000594225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist