Individual provider · Type 1 NPI
Debra Odlum, LMT
Massage Therapist · Lake Stevens, WA
NPI number
1215449509
Active
Practice location
1806 S Lake Stevens Rd
Lake Stevens, WA 98258-7959
Fax (425) 343-4601
Mailing address
2905 Lake Dr
Lake Stevens, WA 98258-4275
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60777796 (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 1215449509
Debra Odlum, LMT's National Provider Identifier is 1215449509, issued on Oct 26, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Oct 26, 2017.