Individual provider · Type 1 NPI
Selah F. Fredericks, LMT
Massage Therapist · Spokane Valley, WA
NPI number
1972249001
Active
Practice location
9011 E Valleyway Ave
Spokane Valley, WA 99212-2835
Mailing address
8117 E Jackson Ave
Spokane Valley, WA 99212-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00019007 (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 1972249001
Selah F. Fredericks, LMT's National Provider Identifier is 1972249001, issued on May 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spokane Valley, WA. The record was last updated on May 11, 2022.