Jacob C. Mckown in Bothell - Massage Therapist

Jacob C. Mckown - NPI 1538227137

Jacob C. Mckown is a Massage Therapist in Bothell, Washington. Jacob C. Mckown practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jacob C. Mckown is 1538227137. The last update date is 2007-07-08.

Jacob C. Mckown's current location address is 18920 Bothell Way Ne, Bothell, Washington. You can contact this provider via phone number 4254243730 and fax number 4254242371. The mailing address for Jacob C. Mckown is 18920 Bothell Way Ne, Bothell, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jacob C. Mckown
Address 18920 Bothell Way Ne, Bothell, Washington
Phone Number 4254243730
Fax Number 4254242371
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1538227137
Provider Enumeration Date 2006-12-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 18920 Bothell Way Ne
City Bothell
State Washington (WA)
Post Code 980111981
Phone Number 4254243730
Fax Number 4254242371

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA11841
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4853MC WA BLUE SHIELD

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FAQs about Jacob C. Mckown

What is the unique 10-digit identification code issued to Jacob C. Mckown by the Centers for Medicare & Medicaid Services?

The Jacob C. Mckown has been assigned the NPI (National Provider Identifier) 1538227137 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Jacob C. Mckown?

The Jacob C. Mckown is situated at 18920 Bothell Way Ne, in the city of Bothell, state of WA, with the zip code 980111981.

What is Jacob C. Mckown's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jacob C. Mckown's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1538227137 to Jacob C. Mckown?

The Centers for Medicare & Medicaid Services originally issued the 1538227137 to Jacob C. Mckown on 2006-12-05.

As of what date were the Jacob C. Mckown's details last updated?

The information pertaining to the Jacob C. Mckown, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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