Individual provider · Type 1 NPI

Jessica Marie Fodge, L.M.T.

Massage Therapist · Okanogan, WA

NPI number 1891836946 Active

Practice location

233 2nd Ave S
Okanogan, WA 98840-9703

Mailing address

PO Box 1604
Okanogan, WA 98840-1604

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011423 (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 1891836946

Jessica Marie Fodge, L.M.T.'s National Provider Identifier is 1891836946, issued on Feb 10, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Okanogan, WA. The record was last updated on Dec 22, 2024.