Individual provider · Type 1 NPI

Miranda Rose Goodroad, LMP

Massage Therapist · Lakewood, WA

NPI number 1821490764 Active

Practice location

8615 S Tacoma Way
Lakewood, WA 98499-4542

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 00025034 (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 1821490764

Miranda Rose Goodroad, LMP's National Provider Identifier is 1821490764, issued on Sep 23, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lakewood, WA. The record was last updated on Sep 23, 2014.