Individual
JESSICA TYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13808
SC
225700000X
Massage Therapist
Primary
MA00019032
WA
Other
Enumeration date
01/14/2008
Last updated
06/18/2026
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