Individual provider · Type 1 NPI

Jessica Dolores Wolfrum, LMP

Massage Therapist · Kenmore, WA

NPI number 1295988459 Active

Practice location

16908 Juanita Dr NE
Kenmore, WA 98028-4248

Mailing address

10121 Evergreen Way, #25-244
Everett, WA 98204-3885

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60025082 (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 1295988459

Jessica Dolores Wolfrum, LMP's National Provider Identifier is 1295988459, issued on Oct 30, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, WA. The record was last updated on Jun 17, 2009.