JADE DEIDERS LMP
NPI 1689091340
Massage Therapist in Bingen, WA
- Individual
- Female
- Massage Therapist
About JADE DEIDERS
This page provides the complete NPI Profile along with additional information for Jade Deiders, a provider established in Bingen, Washington with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1689091340 assigned on March 2014. The practitioner's primary taxonomy code is 225700000X with license number MA00022112 (WA). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1689091340 Verify this NPI
- Provider Name
- JADE DEIDERS LMP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 302 W STEUBEN ST #7 BINGEN, WA 98605
- Location Phone
- (541) 490-2933
- Mailing Address
- 2482 HIGHWAY 141 TROUT LAKE, WA 98650
- Mailing Phone
- (541) 490-2933
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-19-2014
- Last Update Date
- 03-19-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA00022112
- License State
- WA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | 12874 (OR) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689091340, enumerated as an "individual" on March 19, 2014.
The provider is located at 302 W STEUBEN ST #7 BINGEN, WA 98605 and the phone number is (541) 490-2933.
Massage Therapist with taxonomy code 225700000X.
