Individual provider · Type 1 NPI
Deedra Ann Simonelli, MA60228974
Massage Therapist · Lynnwood, WA
NPI number
1275118481
Active
Practice location
16825 48th Ave W Ste 243
Lynnwood, WA 98037-6406
Mailing address
18705 126th Ave NE Apt 2703
Bothell, WA 98011-9349
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60228974 (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 1275118481
Deedra Ann Simonelli, MA60228974's National Provider Identifier is 1275118481, issued on Mar 10, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Mar 10, 2021.