Jessica Marie Fodge, L.M.T.

NPI #1891836946 in Okanogan, Washington

Provider Information

NPI Number: 1891836946
Entity Type: Individual
Name: Jessica Marie Fodge, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Feb 10, 2007
Last Updated: Dec 22, 2024

Practice Location

Address: 233 2ND AVE S
City: Okanogan
State: Washington
ZIP Code: 98840-9703
Phone: (509) 429-0096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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