MARY BETH MCDADE LMT
NPI 1104169689
Massage Therapist in Madison, WI
Active since April 02, 2013
About Mary Beth Mcdade Lmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY BETH MCDADE LMT (NPI 1104169689) is an individual massage therapist in Madison, Wisconsin, licensed in Wisconsin (4221-146) and active in the NPI registry since April 2013.
NPPES Registry Identity
NPI1104169689
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMARY BETH MCDADECredential: LMT
Location Address2007 ATWOOD AVEMadison, WI 53704-5324
Mailing Address2065 Winnebago St, #2Madison, WI 53704-5316 · (608) 282-5584
Phone(608) 282-5584
Sole ProprietorYes
Enumeration DateApril 2, 2013
✔ NPI 1104169689 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 4221-146
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
2007 ATWOOD AVE, Madison, WI 53704
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104169689, enumerated as an "individual" on April 02, 2013.
The provider is located at 2007 ATWOOD AVE MADISON, WI 53704 and the phone number is (608) 282-5584.
Massage Therapist with taxonomy code 225700000X.