ELISE LORRAINE DECKARD LMP - NPI 1952593469 - Massage Therapist in Bothell, WA

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Elise Lorraine Deckard Lmp NPPES

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

ELISE LORRAINE DECKARD LMP (NPI 1952593469) is an individual massage therapist in Bothell, Washington, licensed in Washington (MA00024104) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1952593469

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameELISE LORRAINE DECKARDCredential: LMP

Location Address10125 MAIN PL, SUITE ABothell, WA 98011-3457

Mailing Address10125 Main Pl, Suite ABothell, WA 98011-3457

Phone(425) 806-5525

Sole ProprietorNo

Enumeration DateAugust 17, 2007

Last NPPES UpdateJuly 9, 2009

✔ NPI 1952593469 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 · MA00024104

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.

10125 MAIN PL, Bothell, WA 98011

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