Individual provider · Type 1 NPI

Lisa Fanning, LMP

Massage Therapist · Lynnwood, WA

NPI number 1831241074 Active

Practice location

6101 200th St SW, #206
Lynnwood, WA 98036-6077

Call (425) 774-6402 Map

Fax (425) 774-6402

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA6551 (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 1831241074

Lisa Fanning, LMP's National Provider Identifier is 1831241074, issued on Jan 17, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lynnwood, WA. The record was last updated on Jul 8, 2007.