IndividualActive
Angie Dover
NPI 1104559558 · Massage Therapist · Pasco, WA
Provider details
- NPI number
- 1104559558
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA61253967 (WA)
Mailing address
5107 W Livingston Rd
Pasco, WA 99301-2257
Registry dates
- Enumerated
- 2022-07-04
- Last updated
- 2022-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.