MRS. Georgia Leann Fahl, LMT

NPI #1174130793 in Edmonds, Washington

Provider Information

NPI Number: 1174130793
Entity Type: Individual
Name: MRS. Georgia Leann Fahl, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 28, 2020
Last Updated: Sep 28, 2020

Practice Location

Address: 122 5TH AVE S # 122B
City: Edmonds
State: Washington
ZIP Code: 98020-3423
Phone: (707) 812-0669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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