Individual provider · Type 1 NPI

Julie Lyn McSwane-Iceberg, LMP

Massage Therapist · Kennewick, WA

NPI number 1598815995 Active

Practice location

5219 W Clearwater Ave, Suite 9
Kennewick, WA 99336-1914

Fax (509) 736-6607

Mailing address

1548 N Edison St, C-202
Kennewick, WA 99336-1462

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00014920 (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 1598815995

Julie Lyn McSwane-Iceberg, LMP's National Provider Identifier is 1598815995, issued on Jan 11, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kennewick, WA. The record was last updated on Jul 8, 2007.