Autumn Odenius in Marysville - Massage Therapist
Autumn Odenius - NPI 1053433599
Autumn Odenius is a Massage Therapist in Marysville, Washington. Autumn Odenius practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Autumn Odenius is 1053433599. The last update date is 2007-07-25.
Autumn Odenius's current location address is 1617 Grove St, Marysville, Washington. You can contact this provider via phone number 3606596241 and fax number 3606593918. The mailing address for Autumn Odenius is 1617 Grove St, Marysville, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Autumn Odenius |
|---|---|
| Address | 1617 Grove St, Marysville, Washington |
| Phone Number | 3606596241 |
| Fax Number | 3606593918 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1053433599 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-25 |
Provider Mailing Address Detail
| Address | 1617 Grove St |
|---|---|
| City | Marysville |
| State | Washington (WA) |
| Post Code | 982704301 |
| Phone Number | 3606596241 |
| Fax Number | 3606593918 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 108835 | WA | L & I |
Post Comment/ Review Below
What is the unique identifier code issued to Autumn Odenius by the Centers for Medicare & Medicaid Services (CMS)?
The Autumn Odenius has been assigned the NPI (National Provider Identifier) 1053433599. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Autumn Odenius is geographically located?
The Autumn Odenius is physically situated at the following location: 1617 Grove St, Marysville, WA, 982704301.
What is Autumn Odenius's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Autumn Odenius's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
When was the Autumn Odenius's 1053433599 issued?
The Autumn Odenius's 1053433599 was issued on 2007-04-04.
When was the Autumn Odenius's information last updated?
The Autumn Odenius's information was last updated on 2007-07-25.
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