MRS. JOLEEN MICHELLE BACON LMP
NPI 1174678098
Massage Therapist in Lynnwood, WA

Active since January 23, 2007
4620 200TH ST SW, SUITE C, LYNNWOOD, WA 98036(425) 697-5144(425) 778-0824 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Joleen Michelle Bacon Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JOLEEN MICHELLE BACON LMP (NPI 1174678098) is an individual massage therapist in Lynnwood, Washington, licensed in Washington (MA00011700) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174678098
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMRS. JOLEEN MICHELLE BACONCredential: LMP
Location Address4620 200TH ST SW, SUITE CLynnwood, WA 98036-6607
Mailing Address4620 200th St Sw, Suite CLynnwood, WA 98036-6607 · (425) 697-5144 · Fax (425) 778-0824
Fax(425) 778-0824
Sole ProprietorYes
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1174678098 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 WA · MA00011700
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.

4620 200TH ST SW, Lynnwood, WA 98036

Other Identifiers 2

Other8405BAWA · Regence
Other146955WA · Labor And Industries

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
4620 200TH ST SW, SUITE C MN MASSAGE THERAPY
LYNNWOOD, WA 98036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joleen Bacon's NPI number?

The NPI number for Joleen Bacon is 1174678098. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Joleen Bacon located?

Joleen Bacon practices at 4620 200th St SW Suite C, Lynnwood, WA 98036. The listed phone number is (425) 697-5144.

What is Joleen Bacon's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Joleen Bacon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.