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JO ANNE BRODERICK L.M.P. NPI 1720327778


NPI Information

NPI: 1720327778
Provider Name: JO ANNE BRODERICK, L.M.P.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
5531 67TH DR SE
SNOHOMISH, WA
ZIP 98290
Phone: (206) 795-6907
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Jo Anne Broderick, L.M.P. is a massage therapist in Snohomish, 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. Jo Anne Broderick, L.M.P. NPI is 1720327778. 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:

5531 67TH DR SE
SNOHOMISH, WA
ZIP 98290-114
Phone: (206) 795-6907
Fax: (425) 286-2713

The enumeration date for this NPI number is 2/12/2013 and was last updated on 2/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistMA00013942WASHINGTONYes

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

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