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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60211133 (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.