Individual
MS. DANIELLE NICOLE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 S 7TH AVE STE 203, YAKIMA, WA 98902-3385
(509) 453-1420
(509) 453-1453
Mailing address
107 S 7TH AVE STE 203, YAKIMA, WA 98902-3385
(509) 453-1420
(509) 453-1453
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195427
LABOR & INDUSTRIES
WA
01
—
365096198
365096198
WA
01
—
MA00020706
MASSAGE PRACTIONER
WA
Enumeration date
10/18/2007
Last updated
05/03/2024
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