Theresa Madison, LMP

NPI #1649691510 in Bothell, Washington

Provider Information

NPI Number: 1649691510
Entity Type: Individual
Name: Theresa Madison, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Dec 19, 2013
Last Updated: Dec 19, 2013

Practice Location

Address: 18920 BOTHELL WAY NE
Address 2: 204
City: Bothell
State: Washington
ZIP Code: 98011-1981
Phone: (425) 424-3730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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