MRS. JESSICA D SUNDAHL L.M.P NPI 1730238528

NPI Information

NPI: 1730238528
Provider Name: MRS. JESSICA D SUNDAHL, L.M.P
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4111 S MERIDIAN
SUITE 208
PUYALLUP, WA
ZIP 98373
Phone: (253) 905-5214
Get Directions

MRS. Jessica D Sundahl, L.M.P 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. MRS. Jessica D Sundahl, L.M.P NPI is 1730238528. 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:

4111 S MERIDIAN
SUITE 208
PUYALLUP, WA
ZIP 98373-973
Phone: (253) 905-5214
Fax: (253) 503-6146

The enumeration date for this NPI number is 1/9/2007 and was last updated on 10/8/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00016460	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	0007827360	OTHER	WASHINGTON	AETNA PROVIDER NUMBER
2	0158989	OTHER	WASHINGTON	LABOR AND INDUSTRIES
3	4342TI	OTHER	WASHINGTON	REGENCECARE ID NUMBER
4	912137851	OTHER	WASHINGTON	EMPLOYER ID NUMBER
5	254423100000	OTHER	WASHINGTON	PREMERA PROVIDER NUMBER
6	6021925760010001	OTHER	WASHINGTON	UBI BUSINESS
7	MA00016460	OTHER	WASHINGTON	LICENSE FOR MASSAGE

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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