Alexis Baranov, LMP

NPI #1073959086 in Edmonds, Washington

Provider Information

NPI Number: 1073959086
Entity Type: Individual
Name: Alexis Baranov, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 16, 2013
Last Updated: May 23, 2013

Practice Location

Address: 424 3RD AVE S
Address 2: APT 210
City: Edmonds
State: Washington
ZIP Code: 98020-8418
Phone: (206) 369-3588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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