ALICIA KATHERINE JACOBY LMP NPI 1508814187

NPI Information

NPI: 1508814187
Provider Name: ALICIA KATHERINE JACOBY, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1612 NE 78TH ST
VANCOUVER, WA
ZIP 98665
Phone: (360) 573-3223
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Alicia Katherine Jacoby, LMP is a massage therapist in Vancouver, 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. Alicia Katherine Jacoby, LMP NPI is 1508814187. 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:

1612 NE 78TH ST
VANCOUVER, WA
ZIP 98665
Phone: (360) 573-3223
Fax: (360) 573-3224

The enumeration date for this NPI number is 5/5/2006 and was last updated on 3/22/2011.

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	174400000X	Specialist		MA00016071	WASHINGTON	No
2	225700000X	Massage Therapist		MA00016071	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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