Individual provider · Type 1 NPI
Glen Erickson, LMT
Massage Therapist · Olympia, WA
NPI number
1003956962
Active
Practice location
1217 4th Ave E, Suite 200
Olympia, WA 98506-4246
Fax (360) 943-6602
Mailing address
607 Turner St NE
Olympia, WA 98506-4665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00014743 (WA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003956962
Glen Erickson, LMT's National Provider Identifier is 1003956962, issued on Feb 7, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Jul 8, 2007.