Provider Demographics
NPI:1104799360
Name:NAYAR, NEERA JAKOB (LMT)
Entity type:Individual
Prefix:MR
First Name:NEERA
Middle Name:JAKOB
Last Name:NAYAR
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 HUSKY WAY SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98503-6716
Mailing Address - Country:US
Mailing Address - Phone:360-777-6994
Mailing Address - Fax:
Practice Address - Street 1:1217 4TH AVE E STE 101
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4246
Practice Address - Country:US
Practice Address - Phone:360-777-6994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMASS.MA.61399536225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist