Individual provider · Type 1 NPI

Georgia Anne Ide, LMP

Massage Therapist · Bellevue, WA

NPI number 1629354816 Active

Practice location

12951 Bel Red Rd Ste 100
Bellevue, WA 98005-2628

Call (425) 786-3086 Map

Mailing address

20229 150th Ave SE
Monroe, WA 98272-9132

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60247950 (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 1629354816

Georgia Anne Ide, LMP's National Provider Identifier is 1629354816, issued on Nov 1, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellevue, WA. The record was last updated on Jul 23, 2013.