Individual provider · Type 1 NPI

Laci Berg, LMP

Massage Therapist · Bellevue, WA

NPI number 1497747083 Active

Practice location

606 120th Ave NE Ste D100
Bellevue, WA 98005

Fax (425) 688-0323

Mailing address

PO Box 731269
Puyallup, WA 98373-0060

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00017583 (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 1497747083

Laci Berg, LMP's National Provider Identifier is 1497747083, issued on Aug 18, 2005. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Jul 30, 2018.