Michael Lawrence Simon, LMP

NPI #1568589109 in Bothell, Washington

Provider Information

NPI Number: 1568589109
Entity Type: Individual
Name: Michael Lawrence Simon, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 19523 100TH AVE NE
City: Bothell
State: Washington
ZIP Code: 98011-2317
Phone: (425) 483-4123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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