Christa Medlock, LMP

NPI #1982911517 in West Richland, Washington

Provider Information

NPI Number: 1982911517
Entity Type: Individual
Name: Christa Medlock, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 2, 2010
Last Updated: Sep 2, 2010

Practice Location

Address: 4791 W VAN GIESEN ST STE B
City: West Richland
State: Washington
ZIP Code: 99353-5085
Phone: (509) 967-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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