Individual provider · Type 1 NPI

Joleen Michelle Bacon, LMP

Massage Therapist · Lynnwood, WA

NPI number 1174678098 Active

Practice location

4620 200th St SW, Suite C
Lynnwood, WA 98036-6607

Call (425) 697-5144 Map

Fax (425) 778-0824

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011700 (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 1174678098

Joleen Michelle Bacon, LMP's National Provider Identifier is 1174678098, issued on Jan 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 8, 2007.