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Mrs. Georgia Leann Fahl, LMT
Massage Therapist in Edmonds, Washington
NPI 1174130793

Georgia Leann Fahl is a Massage Therapist based in Edmonds, WA. Georgia Leann Fahl practices in Edmonds, WA and has the professional credentials of LMT. The NPI Number for Georgia Leann Fahl is 1174130793 and holds a License No. MA61102809 (Washington).

The current practice location address for Georgia Leann Fahl is 122 5Th Ave S # 122B, Edmonds, WA and can be reached out via phone at 707-812-0669.

Location: 122 5Th Ave S # 122B, Edmonds, WA, 98026-8658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174130793
Provider Name
Georgia Leann Fahl
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
122 5Th Ave S # 122B, Edmonds, WA, 98026-8658
Phone Number
707-812-0669
Fax Number
Provider Enumeration Date
09/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
122 5Th Ave S # 122B
City
Edmonds
State
Washington
Zip
98020-3423
Phone Number
707-812-0669
Fax Number
person
Provider Business Mailing Address Details
Address
122 5Th Ave S # 122B
City
Edmonds
State
Washington
Zip
98020-3423
Phone Number
707-812-0669
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61102809 (Washington)
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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