Miranda Dedrick, LMT

NPI #1982245791 in Kent, Washington

Provider Information

NPI Number: 1982245791
Entity Type: Individual
Name: Miranda Dedrick, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 24612 104TH AVE SE
City: Kent
State: Washington
ZIP Code: 98030-4965
Phone: (253) 520-2529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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