Individual provider · Type 1 NPI

Terra Marie Forkner, LMP

Massage Therapist · Mount Vernon, WA

NPI number 1235672882 Active

Practice location

1202 S. 2nd Street, Suite E
Mount Vernon, WA 98273

Call (360) 610-1089 Map

Fax (360) 989-1197

Mailing address

17360 Red Hawk Ct
Mount Vernon, WA 98274-7797

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60644252 (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 1235672882

Terra Marie Forkner, LMP's National Provider Identifier is 1235672882, issued on Nov 30, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mount Vernon, WA. The record was last updated on Feb 22, 2017.