Individual provider · Type 1 NPI
Mary Beth McDade, LMT
Massage Therapist · Madison, WI
NPI number
1104169689
Active
Practice location
2007 Atwood Ave
Madison, WI 53704-5324
Mailing address
2065 Winnebago St, #2
Madison, WI 53704-5316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 4221-146 (WI) |
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 1104169689
Mary Beth McDade, LMT's National Provider Identifier is 1104169689, issued on Apr 2, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Madison, WI. The record was last updated on Apr 2, 2013.