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Samantha Avila

NPI Registration Record

Provider / OrganizationNPIDate Certified
SAMANTHA AVILA16094560942021-04-10

Samantha Avila is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1609456094. Registration indicates Samantha Avila is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)

Entity TypeIndividual
Provider Name Samantha Avila MA60886820
Practice Office Address200 S TOBIN ST STE A
RENTON, WA US
Practice Office Telephone4252497705
Practice Office Fax4253215508
Mailing Address2307 NE 4TH ST APT G306
RENTON, WA 980568814 US
Business Telephone7027508348
HPT Codes
CodePractice
License No
State
225700000X PRIMARY
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
Massage Therapist

Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
MA60886820
WA
OPI Codes
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