Individual provider · Type 1 NPI

Emily Elizabeth Fuller, LMT

Massage Therapist · Vancouver, WA

NPI number 1295510501 Active

Practice location

703 Broadway St Ste 500
Vancouver, WA 98660-3307

Mailing address

11420 NW 34th Ct
Vancouver, WA 98685-3441

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61471601 (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 1295510501

Emily Elizabeth Fuller, LMT's National Provider Identifier is 1295510501, issued on Aug 28, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Aug 28, 2023.