Elijah Maxwell, LMP
NPI #1275995417 in Centralia, Washington
Provider Information
- NPI Number
- 1275995417
- Entity Type
- Individual
- Name
- Elijah Maxwell, LMP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMP
- Enumeration Date
- Mar 27, 2016
- Last Updated
- Aug 11, 2016
Practice Location
- Address
- 1639 KRESKY AVE
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8912
- Phone
- (360) 807-4711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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