Individual provider · Type 1 NPI
Judith M. Gustafson, LMP
Massage Therapist · Lynnwood, WA
NPI number
1306975784
Active
Practice location
6231 188th St SW
Lynnwood, WA 98037-7250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00019706 (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 1306975784
Judith M. Gustafson, LMP's National Provider Identifier is 1306975784, issued on Mar 3, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 8, 2007.