Individual provider · Type 1 NPI
Judy Lee Elder, LMP
Massage Therapist · Lake Stevens, WA
NPI number
1295946705
Active
Practice location
25 - 95DR. NE, Suite 105
Lake Stevens, WA 98258
Fax (425) 377-9487
Mailing address
4302 103rd Ave SE, B
Everett, WA 98205-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00023165 (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 1295946705
Judy Lee Elder, LMP's National Provider Identifier is 1295946705, issued on May 25, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Stevens, WA. The record was last updated on Jul 8, 2007.