Ellen Ferderer

NPI #1942624879 in Mead, Washington

Provider Information

NPI Number: 1942624879
Entity Type: Individual
Name: Ellen Ferderer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Feb 12, 2014
Last Updated: Feb 12, 2014

Practice Location

Address: 14120 N NEWPORT HWY
Address 2: SUITE B
City: Mead
State: Washington
ZIP Code: 99021-8600
Phone: (509) 468-4861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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