Jonathan William Legault-Fraga, LMT

NPI #1851001184 in Pasco, Washington

Provider Information

NPI Number: 1851001184
Entity Type: Individual
Name: Jonathan William Legault-Fraga, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 28, 2022
Last Updated: Nov 28, 2022

Practice Location

Address: 207 N 3RD AVE
City: Pasco
State: Washington
ZIP Code: 99301-5315
Phone: (509) 547-4207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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