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Mrs. Monique T Wiedrich, LMP
Massage Therapist in Tumwater, Washington
NPI 1336241090

Monique T Wiedrich is a Massage Therapist based in Olympia, WA. Monique T Wiedrich practices in Tumwater, WA and has the professional credentials of LMP. The NPI Number for Monique T Wiedrich is 1336241090 and holds a License No. MA00017965 (Washington).

The current practice location address for Monique T Wiedrich is 3948 Cleveland Ave Se Ste A, Tumwater, WA and can be reached out via phone at 360-570-9580 and via fax at 360-570-9583.

Location: 3948 Cleveland Ave Se Ste A, Tumwater, WA, 98506-2559
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336241090
Provider Name
Monique T Wiedrich
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
3948 Cleveland Ave Se Ste A, Tumwater, WA, 98506-2559
Phone Number
360-570-9580
Fax Number
360-570-9583
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0200946 01 WA DEPT. OF L&I
institution
Provider Business Practice Location Address Details
Address
3948 Cleveland Ave Se Ste A
City
Tumwater
State
Washington
Zip
98501-4023
Phone Number
360-570-9580
Fax Number
360-570-9583
person
Provider Business Mailing Address Details
Address
3948 Cleveland Ave Se Ste A
City
Tumwater
State
Washington
Zip
98501-4023
Phone Number
360-570-9580
Fax Number
360-570-9583
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00017965 (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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