David Fazio, LMP

NPI #1104231000 in Bothell, Washington

Provider Information

NPI Number: 1104231000
Entity Type: Individual
Name: David Fazio, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Jun 30, 2014
Last Updated: Jun 30, 2014

Practice Location

Address: 18920 BOTHELL WAY NE
Address 2: SUITE 204
City: Bothell
State: Washington
ZIP Code: 98011-1981
Phone: (425) 424-3730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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