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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4221-146 (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.