Anelody Tice, LMP

NPI #1396092862 in Bothell, Washington

Provider Information

NPI Number: 1396092862
Entity Type: Individual
Name: Anelody Tice, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 14, 2012
Last Updated: Aug 14, 2012

Practice Location

Address: 16807 119TH PL NE
City: Bothell
State: Washington
ZIP Code: 98011-5462
Phone: (206) 718-7090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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