Individual provider · Type 1 NPI

Lisa Danielle Mierke, LMP

Massage Therapist · Enumclaw, WA

NPI number 1124228887 Active

Practice location

1110 Stevenson Ave, Suite 203
Enumclaw, WA 98022-2647

Call (360) 802-4565 Map

Fax (360) 802-4565

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00015867 (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 1124228887

Lisa Danielle Mierke, LMP's National Provider Identifier is 1124228887, issued on Jul 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Enumclaw, WA. The record was last updated on Jul 20, 2007.