Judy Lee Elder in Lake Stevens - Massage Therapist

Judy Lee Elder - NPI 1295946705

Judy Lee Elder is a Massage Therapist in Lake Stevens, Washington. Judy Lee Elder practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Judy Lee Elder is 1295946705. The last update date is 2007-07-08.

Judy Lee Elder's current location address is 25 - 95dr. Ne, Lake Stevens, Washington. You can contact this provider via phone number 4253349137 and fax number 4253779487. The mailing address for Judy Lee Elder is 25 - 95dr. Ne, Lake Stevens, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Judy Lee Elder
Address 25 - 95dr. Ne, Lake Stevens, Washington
Phone Number 4253349137
Fax Number 4253779487
Sole Proprietor Y
Credentials LMP

NPI Number Detail

NPI Number 1295946705
Provider Enumeration Date 2007-05-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 25 - 95dr. Ne
City Lake Stevens
State Washington (WA)
Post Code 98258
Phone Number 4253349137
Fax Number 4253779487

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA00023165
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
MA00023165 WA MASSAGE PRACTITIONER

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FAQs about Judy Lee Elder

What is the unique identifier code issued to Judy Lee Elder by the Centers for Medicare & Medicaid Services?

The Judy Lee Elder has been assigned the NPI (National Provider Identifier) 1295946705. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Judy Lee Elder?

The Judy Lee Elder is physically situated at 25 - 95Dr. Ne, in the city of Lake Stevens, state of WA, with the postal code 98258.

What is Judy Lee Elder's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Judy Lee Elder is Massage Therapist, and the taxonomy code that categorizes this field of expertise is 225700000X.

On what date was the 1295946705 assigned to Judy Lee Elder?

The Judy Lee Elder was issued its 1295946705 on 2007-05-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Judy Lee Elder most recently updated or refreshed?

The details pertaining to the Judy Lee Elder, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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