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Elijah Maxwell, LMP
Massage Therapist in Centralia, Washington
NPI 1275995417

Elijah Maxwell is a Massage Therapist based in Centralia, WA. Elijah Maxwell practices in Centralia, WA and has the professional credentials of LMP. The NPI Number for Elijah Maxwell is 1275995417 and holds a License No. MA60590359 (Washington).

The current practice location address for Elijah Maxwell is 1639 Kresky Ave, Centralia, WA and can be reached out via phone at 360-807-4711.

Location: 1639 Kresky Ave, Centralia, WA, 98531-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275995417
Provider Name
Elijah Maxwell
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
1639 Kresky Ave, Centralia, WA, 98531-1522
Phone Number
360-807-4711
Fax Number
Provider Enumeration Date
03/27/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1639 Kresky Ave
City
Centralia
State
Washington
Zip
98531-8912
Phone Number
360-807-4711
Fax Number
person
Provider Business Mailing Address Details
Address
1639 Kresky Ave
City
Centralia
State
Washington
Zip
98531-8912
Phone Number
360-807-4711
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60590359 (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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