Individual provider · Type 1 NPI

Maverick Kannegaard

Massage Therapist · Seattle, WA

NPI number 1821540733 Active

Practice location

Fremont Ave N #412
Seattle, WA 98103

Call (206) 853-1540 Map

Mailing address

411 NE 94th St
Seattle, WA 98115-2730

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 60332657 (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 1821540733

Maverick Kannegaard's National Provider Identifier is 1821540733, issued on Oct 26, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seattle, WA. The record was last updated on Nov 4, 2016.