Individual provider · Type 1 NPI

Fearecia Maddox, LMP

Massage Therapist · Airway Heights, WA

NPI number 1710329107 Active

Practice location

12727 W 14th Ave
Airway Heights, WA 99001-9409

Fax (509) 244-8945

Mailing address

12721 E Shannon Ave, #C143
Spokane Valley, WA 99216-1651

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60351855 (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 1710329107

Fearecia Maddox, LMP's National Provider Identifier is 1710329107, issued on Jul 25, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Airway Heights, WA. The record was last updated on Jul 25, 2013.