Individual provider · Type 1 NPI

Krista M. Fordyce, LMP

Massage Therapist · Seattle, WA

NPI number 1649313750 Active

Practice location

5617 California Ave SW
Seattle, WA 98136-1514

Call (206) 938-3175 Map

Mailing address

3057 63rd Ave SW Apt 11
Seattle, WA 98116-2760

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00020753 (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 1649313750

Krista M. Fordyce, LMP's National Provider Identifier is 1649313750, issued on Feb 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Jul 8, 2007.