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Wendy Cargile Dickerson
Massage Therapist in Medical Lake, Washington
NPI 1174153183

Wendy Cargile Dickerson is a Massage Therapist based in Medical Lake, WA. Wendy Cargile Dickerson practices in Medical Lake, WA. The NPI Number for Wendy Cargile Dickerson is 1174153183 and holds a License No. MA61026888 (Washington).

The current practice location address for Wendy Cargile Dickerson is 731 N Stanley St, Medical Lake, WA and can be reached out via phone at 509-299-6900.

Location: 731 N Stanley St, Medical Lake, WA, 99022-8940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174153183
Provider Name
Wendy Cargile Dickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
731 N Stanley St, Medical Lake, WA, 99022-8940
Phone Number
509-299-6900
Fax Number
Provider Enumeration Date
01/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0123456 05 WA
institution
Provider Business Practice Location Address Details
Address
731 N Stanley St
City
Medical Lake
State
Washington
Zip
99022-8940
Phone Number
509-299-6900
Fax Number
person
Provider Business Mailing Address Details
Address
731 N Stanley St
City
Medical Lake
State
Washington
Zip
99022-8940
Phone Number
509-299-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA61026888 (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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