Provider Demographics
NPI:1922372457
Name:NYISHAR, TENZIN TSOKYI
Entity Type:Individual
Prefix:MISS
First Name:TENZIN
Middle Name:TSOKYI
Last Name:NYISHAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16747 CORLISS PL N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-5552
Mailing Address - Country:US
Mailing Address - Phone:206-245-3548
Mailing Address - Fax:
Practice Address - Street 1:16747 CORLISS PL N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-5552
Practice Address - Country:US
Practice Address - Phone:206-245-3548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60263255225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist