MADISON LEE-ANN WALDO MA61125780 NPI 1700473360

NPI Information

NPI: 1700473360
Provider Name: MADISON LEE-ANN WALDO, MA61125780
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
7514 W YELLOWSTONE AVE
KENNEWICK, WA
ZIP 99336
Phone: (509) 783-7242
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Madison Lee-ann Waldo, MA61125780 is a massage therapist in Kennewick, 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 Lee-ann Waldo, MA61125780 NPI is 1700473360. 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:

7514 W YELLOWSTONE AVE
KENNEWICK, WA
ZIP 99336-101
Phone: (509) 783-7242

The enumeration date for this NPI number is 12/29/2020 and was last updated on 12/29/2020.

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		MA61125780	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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