Individual provider · Type 1 NPI

Denison F. Wiedman, LMT

Massage Therapist · White Salmon, WA

NPI number 1407446412 Active

Practice location

136 N Main Ave
White Salmon, WA 98672-1149

Mailing address

PO Box 2290 Pmb 204
White Salem, WA 98672

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X25542 (OR)
Massage Therapist Primary 225700000X61034962 (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 1407446412

Denison F. Wiedman, LMT's National Provider Identifier is 1407446412, issued on Jan 23, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in White Salmon, WA. The record was last updated on Feb 12, 2024.