Individual provider · Type 1 NPI

Theodora A. Fogarty, LMP

Massage Therapist · Seattle, WA

NPI number 1811074164 Active

Practice location

2819 NE 115th St
Seattle, WA 98125-6706

Call (206) 365-6720 Map

Fax (206) 467-2777

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00005167 (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 1811074164

Theodora A. Fogarty, LMP's National Provider Identifier is 1811074164, issued on Nov 1, 2006. 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.