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FREDRICK MORTIMORE LMT
NPI 1881414381
Massage Therapist in Mill Creek, WA

Active since October 10, 2024
805 164TH ST SE STE 100, MILL CREEK, WA 98012(425) 595-3436 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fredrick Mortimore Lmt NPPES

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

FREDRICK MORTIMORE LMT (NPI 1881414381) is an individual massage therapist in Mill Creek, Washington, licensed in Washington (MA61569748) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1881414381
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameFREDRICK MORTIMORECredential: LMT
Location Address805 164TH ST SE STE 100Mill Creek, WA 98012-6316
Mailing Address805 164th St Se Ste 100Mill Creek, WA 98012-6316 · (425) 595-3436
Phone(425) 595-3436
Sole ProprietorNo
Enumeration DateOctober 10, 2024
NPPES CertifiedOctober 10, 2024
✔ NPI 1881414381 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 · MA61569748
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.
805 164TH ST SE STE 100, Mill Creek, WA 98012
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Other Providers at the Same Location NPPES 5

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

CROSSFUNCTION SPORTS RECOVERY, PLLC
Clinic/Center
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 595-3436
ALLYSON HANA MEI-YAN KOH MD
Pediatrics
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 354-4296
SARAH TERESITA VEGA MD
Pediatrics
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 354-4296
JENNY LYNN MAPES L.M.T.
Massage Therapist
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (452) 595-3436
CROSSFUNCTION SPORTS MASSAGE, PLLC
Massage Therapist
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 418-8588

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 Fredrick Mortimore's NPI number?

The NPI number for Fredrick Mortimore is 1881414381. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Fredrick Mortimore located?

Fredrick Mortimore practices at 805 164th St SE Ste 100, Mill Creek, WA 98012. The listed phone number is (425) 595-3436.

What is Fredrick Mortimore'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 Fredrick Mortimore was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.