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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00017583 (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.
Another provider at this address
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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.