Individual
ALETHA L LASSITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LMT, RYT 200
Contact information
Practice address
246 E MAIN ST, PULLMAN, WA 99163-2619
(208) 310-1279
Mailing address
1155 SE PRO MALL BLVD TRLR 314, PULLMAN, WA 99163-5434
(208) 310-1279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60847751
WA
225700000X
Massage Therapist
MAS-3485
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101676119
PREMARA BLUE CROSS
WA
Enumeration date
08/08/2018
Last updated
08/08/2018
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