Individual provider · Type 1 NPI

Candice M. Isom, LMP

Massage Therapist · Liberty Lake, WA

NPI number 1497991343 Active

Practice location

23410 E Mission Ave
Liberty Lake, WA 99019-7515

Call (509) 999-4780 Map

Fax (509) 924-8242

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00019234 (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 1497991343

Candice M. Isom, LMP's National Provider Identifier is 1497991343, issued on Dec 24, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Liberty Lake, WA. The record was last updated on Dec 24, 2008.