Jared Stephen Bleasdale, L.M.P.

NPI #1720395601 in Buckley, Washington

Provider Information

NPI Number: 1720395601
Entity Type: Individual
Name: Jared Stephen Bleasdale, L.M.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.P.
Enumeration Date: Sep 13, 2010
Last Updated: Sep 13, 2010

Practice Location

Address: 280 C STREET
City: Buckley
State: Washington
ZIP Code: 98321
Phone: (253) 632-2248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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