Courtney Janelle Madlung in Sumner - Massage Therapist

Courtney Janelle Madlung - NPI 1043385438

Courtney Janelle Madlung is a Massage Therapist in Sumner, Washington. Courtney Janelle Madlung practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Courtney Janelle Madlung is 1043385438. The last update date is 2007-07-08.

Courtney Janelle Madlung's current location address is 15324 Main St E Ste B, Sumner, Washington. You can contact this provider via phone number 2538635323 and fax number 2538632034. The mailing address for Courtney Janelle Madlung is 15324 Main St E Ste B, Sumner, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Courtney Janelle Madlung
Address 15324 Main St E Ste B, Sumner, Washington
Phone Number 2538635323
Fax Number 2538632034
Sole Proprietor N
Credentials L.M.P.

NPI Number Detail

NPI Number 1043385438
Provider Enumeration Date 2006-11-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15324 Main St E Ste B
City Sumner
State Washington (WA)
Post Code 983902698
Phone Number 2538635323
Fax Number 2538632034

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00019055
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
91-1580839 WA GROUP TAX ID#
602414363 WA TAX ID#
MA00019055 WA WA LICENSE CREDENTIAL#
183864 WA INT'L MASSAGE ASSOC#

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FAQs about Courtney Janelle Madlung

What is the unique 10-digit identification code issued to Courtney Janelle Madlung by the Centers for Medicare & Medicaid Services?

The Courtney Janelle Madlung has been assigned the NPI (National Provider Identifier) 1043385438 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Courtney Janelle Madlung's physical address?

The Courtney Janelle Madlung is physically located at 15324 Main St E Ste B, in the city of Sumner, WA, with the postal code 983902698.

What is the area of specialization for Courtney Janelle Madlung, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Courtney Janelle Madlung is Massage Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225700000X.

On what date did the Courtney Janelle Madlung receive the assignment of its 1043385438 from the Centers for Medicare & Medicaid Services?

The Courtney Janelle Madlung was issued its 1043385438 by the Centers for Medicare & Medicaid Services on 2006-11-21.

As of what date were the details pertaining to Courtney Janelle Madlung last refreshed?

The information related to the Courtney Janelle Madlung, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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