Lisa A Erdahl, LMP

NPI #1467562017 in Renton, Washington

Provider Information

NPI Number: 1467562017
Entity Type: Individual
Name: Lisa A Erdahl, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 263 RANIER AVE S
Address 2: #208
City: Renton
State: Washington
ZIP Code: 98055
Phone: (425) 271-2626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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