Samara R. Thelen, MA

Massage Therapist · Enumclaw, WA

Individual Active NPI

NPI number 1154086593

Practice location

709 Griffin Ave
Enumclaw, WA 98022-3419
Phone
(253) 350-3833

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NPI record

NPI
1154086593
Entity type
Individual (Type 1)
Enumeration date
November 1, 2021
Last updated
November 1, 2021
Certified
November 1, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X MA00022106 WA

Mailing address

219 Jewell St
Enumclaw, WA 98022-7329
Phone
(253) 350-3833
Fax
(253) 350-3833

About Samara Thelen

Samara R. Thelen, MA is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 709 Griffin Ave, Enumclaw, WA 98022-3419. The NPI number 1154086593 was assigned on November 1, 2021 and the record was last updated on November 1, 2021.

Samara Thelen lists a license in the registry: #MA00022106 (WA) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samara R. Thelen, MA?

The NPI number is 1154086593.

What is the phone number of Samara Thelen?

The phone number listed for the practice location is (253) 350-3833.

Where is Samara Thelen located?

709 Griffin Ave, Enumclaw, WA 98022-3419.

What is the taxonomy code for Samara Thelen?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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