Provider Demographics
NPI:1720686868
Name:NASH, MARILYN (LMT)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3712
Mailing Address - Country:US
Mailing Address - Phone:253-473-7830
Mailing Address - Fax:253-267-1607
Practice Address - Street 1:706 MARKET ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3712
Practice Address - Country:US
Practice Address - Phone:253-473-7830
Practice Address - Fax:253-267-1607
Is Sole Proprietor?:No
Enumeration Date:2020-10-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist