JENNIFER L CONRAD LMP NPI 1528197910

NPI Information

NPI: 1528197910
Provider Name: JENNIFER L CONRAD, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
11108 WOODLAND AVE E STE A
PUYALLUP, WA
ZIP 98373
Phone: (253) 845-5358
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Jennifer L Conrad, LMP is a massage therapist in Puyallup, 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. Jennifer L Conrad, LMP NPI is 1528197910. 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:

11108 WOODLAND AVE E STE A
PUYALLUP, WA
ZIP 98373-893
Phone: (253) 845-5358
Fax: (253) 845-5753

The enumeration date for this NPI number is 3/3/2007 and was last updated on 7/8/2007.

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		MA00017265	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA00017265	OTHER	WASHINGTON	STATE LICENSE
2	0190641	OTHER	WASHINGTON	LABOR & INDUSTRIES

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: 4/28/2024

NPI Synchronization or Removal

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