Individual provider · Type 1 NPI

Ellen Ferderer

Massage Therapist · Mead, WA

NPI number 1942624879 Active

Practice location

14120 N Newport Hwy, Suite B
Mead, WA 99021-8600

Fax (509) 468-2101

Mailing address

16083 SW Upper Boones Ferry Rd, Suite 300
Tigard, OR 97224-7736

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60417278 (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 1942624879

Ellen Ferderer's National Provider Identifier is 1942624879, issued on Feb 12, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mead, WA. The record was last updated on Feb 12, 2014.