Individual provider · Type 1 NPI

Penny Gaudreau, LMP

Massage Therapist · Burlington, WA

NPI number 1487986592 Active

Practice location

26290 State Route 20
Burlington, WA 98233

Call (360) 540-7246 Map

Mailing address

1515 East Fir Street
Mount Vernon, WA 98273

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 00017676 (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 1487986592

Penny Gaudreau, LMP's National Provider Identifier is 1487986592, issued on Feb 1, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Burlington, WA. The record was last updated on Feb 16, 2010.