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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00011423 (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.