Individual provider · Type 1 NPI

Jackie C. Borup, LMP

Massage Therapist · Moses Lake, WA

NPI number 1932500873 Active

Practice location

226 W 3rd Ave
Moses Lake, WA 98837-1933

Call (509) 765-4174 Map

Mailing address

117 E Inglewood Dr
Moses Lake, WA 98837-2561

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1932500873

Jackie C. Borup, LMP's National Provider Identifier is 1932500873, issued on Sep 10, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Moses Lake, WA. The record was last updated on Sep 10, 2014.