MADISON D DETTMER LMP NPI 1134427826

NPI Information

NPI: 1134427826
Provider Name: MADISON D DETTMER, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4322 RUCKER AVE
EVERETT, WA
ZIP 98203
Phone: (425) 258-5454
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Madison D Dettmer, LMP is a massage therapist in Everett, WA. The provider is 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. Madison D Dettmer, LMP NPI is 1134427826. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4322 RUCKER AVE
EVERETT, WA
ZIP 98203-233
Phone: (425) 258-5454

The enumeration date for this NPI number is 3/4/2011 and was last updated on 3/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA60203144	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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