Peggy Ann Vittoria, LMP
Individual provider Active NPI Massage Therapist · Tenino, WA
NPI 1154584472 · NPPES record last updated Feb 11, 2016
Key facts
- NPI
- 1154584472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00023756 (WA)
- Practice address
- 448 Sussex Ave E
#3
Tenino, WA 98589-8703 - Phone
- (360) 264-5999
- Fax
- (360) 264-5999
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023756 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & D Coulson Inc. | Past | Accepting new patients | |
| Natural Wellness PLLC | Past | Accepting new patients | |
| Massage Therapy by Magic Inc | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023756 | WA | Yes |
Addresses
Primary practice location
448 Sussex Ave E
#3
Tenino, WA 98589-8703
Mailing address
PO Box 364
Tenino, WA 98589-0364
Phone (360) 561-0022
Other providers in Tenino, WA
- Tenino School District
- Thurston County Fire Protection District 12
- Alyssa Marie Titus
- Anita E Uy
- Jessica Lyn Valenti
- Adam Joseph Weber
- Patrick Mario Williams
- Winans PLLC
- Suzanne Kluh Winans
All providers in Tenino, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.