Michael David Mcmullin, LMP

NPI #1780053777 in Graham, Washington

Provider Information

NPI Number: 1780053777
Entity Type: Individual
Name: Michael David Mcmullin, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 19, 2015
Last Updated: Sep 19, 2015

Practice Location

Address: 21707 103RD AVENUE CT E STE B201
City: Graham
State: Washington
ZIP Code: 98338-8308
Phone: (406) 212-5080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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