Individual provider · Type 1 NPI
Dedera A. Midderhoff, LMP
Massage Therapist · Puyallup, WA
NPI number
1871635003
Active
Practice location
4111 S. Meridian, Suite F
Puyallup, WA 98374
Mailing address
12310 109th Ave Ct E
Puyallup, WA 98374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00020763 (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 1871635003
Dedera A. Midderhoff, LMP's National Provider Identifier is 1871635003, issued on Feb 13, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Puyallup, WA. The record was last updated on Jul 8, 2007.