Individual provider · Type 1 NPI
Lynne Suzanne Balderson, LMP
Massage Therapist · Renton, WA
NPI number
1699821231
Active
Practice location
14410 SE Petrovitsky Rd #201
Renton, WA 98058
Fax (425) 227-0734
Mailing address
14913 175th Ave SE
Renton, WA 98059-8037
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00010980 (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 1699821231
Lynne Suzanne Balderson, LMP's National Provider Identifier is 1699821231, issued on Jan 26, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Renton, WA. The record was last updated on Jul 8, 2007.