Individual provider · Type 1 NPI
Brian Edge, LMP
Massage Therapist · Lynnwood, WA
NPI number
1306145644
Active
Practice location
4525 164th St SW, # BB103
Lynnwood, WA 98087-8609
Mailing address
PO Box 14423
Mill Creek, WA 98082-2423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60211133 (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 1306145644
Brian Edge, LMP's National Provider Identifier is 1306145644, issued on Mar 25, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Mar 25, 2011.