Elise Lorraine Deckard, LMP

NPI #1952593469 in Bothell, Washington

Provider Information

NPI Number: 1952593469
Entity Type: Individual
Name: Elise Lorraine Deckard, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Aug 17, 2007
Last Updated: Jul 9, 2009

Practice Location

Address: 10125 MAIN PL
Address 2: SUITE A
City: Bothell
State: Washington
ZIP Code: 98011-3457
Phone: (425) 806-5525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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