IndividualActive
Elena Polozkova
NPI 1295193092 · Massage Therapist · Fircrest, WA
Provider details
- NPI number
- 1295193092
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MA 60583021 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1302 Farallone Ave
Fircrest, WA 98466-6700
Phone: (304) 932-4872
Approximate (ZIP-level) locationGet directions
Mailing address
1302 Farallone Ave
Fircrest, WA 98466-6700
Registry dates
- Enumerated
- 2016-02-08
- Last updated
- 2016-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.