Individual
AYA NAKAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
16828 NE 79TH ST, REDMOND, WA 98052-4424
(425) 243-4502
Mailing address
16828 NE 79TH ST, REDMOND, WA 98052-4424
(425) 243-4502
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60820909
WA
Other
Enumeration date
11/13/2018
Last updated
08/16/2019
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