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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00020763 (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.