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DEEDRA ANN SIMONELLI MA60228974
NPI 1275118481
Massage Therapist in Lynnwood, WA

Active since March 10, 2021
16825 48TH AVE W STE 243, LYNNWOOD, WA 98037(206) 533-3348 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deedra Ann Simonelli Ma60228974 NPPES

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

DEEDRA ANN SIMONELLI MA60228974 (NPI 1275118481) is an individual massage therapist in Lynnwood, Washington, licensed in Washington (MA60228974) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1275118481
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDEEDRA ANN SIMONELLICredential: MA60228974
Location Address16825 48TH AVE W STE 243Lynnwood, WA 98037-6406
Mailing Address18705 126th Ave Ne Apt 2703Bothell, WA 98011-9349 · (206) 533-3348
Phone(206) 533-3348
Sole ProprietorYes
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 9, 2021
✔ NPI 1275118481 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 · MA60228974
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.
16825 48TH AVE W STE 243, Lynnwood, WA 98037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Deedra Simonelli's NPI number?

The NPI number for Deedra Simonelli is 1275118481. It was assigned to this individual provider in the NPPES registry on March 10, 2021.

Where is Deedra Simonelli located?

Deedra Simonelli practices at 16825 48th Ave W Ste 243, Lynnwood, WA 98037. The listed phone number is (206) 533-3348.

What is Deedra Simonelli'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 Deedra Simonelli was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.