Individual provider · Type 1 NPI
Jacob Cody Pidding, LMT # MA60869105
Massage Therapist · Bellevue, WA
NPI number
1487140513
Active
Practice location
606 120th Ave NE Ste 100, Building D
Bellevue, WA 98005-3024
Fax (425) 688-0323
Mailing address
3927 108th Ave NE Apt A202
Bellevue, WA 98004-7856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA60869105 (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.
3 other providers at this address
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About NPI 1487140513
Jacob Cody Pidding, LMT # MA60869105's National Provider Identifier is 1487140513, issued on Jul 1, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Jan 7, 2026.