Individual provider · Type 1 NPI
Jade Deiders, LMP
Massage Therapist · Bingen, WA
NPI number
1689091340
Active
Practice location
302 W Steuben St, #7
Bingen, WA 98605-0834
Mailing address
2482 Highway 141
Trout Lake, WA 98650-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00022112 (WA) |
| Massage Therapist | 225700000X | 12874 (OR) |
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.
About NPI 1689091340
Jade Deiders, LMP's National Provider Identifier is 1689091340, issued on Mar 19, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bingen, WA. The record was last updated on Mar 19, 2014.