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Mr. Michael Wall, LMP
Massage Therapist in Bothell, Washington
NPI 1356657472

Michael Wall is a Massage Therapist based in Kirkland, WA. Michael Wall practices in Bothell, WA and has the professional credentials of LMP. The NPI Number for Michael Wall is 1356657472 and holds a License No. MA60163284 (Washington).

The current practice location address for Michael Wall is 18920 Bothell Way Ne, Bothell, WA and can be reached out via phone at 425-424-3730 and via fax at 425-424-2371.

Location: 18920 Bothell Way Ne, Bothell, WA, 98034-2546
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356657472
Provider Name
Michael Wall
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
18920 Bothell Way Ne, Bothell, WA, 98034-2546
Phone Number
425-424-3730
Fax Number
425-424-2371
Provider Enumeration Date
08/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18920 Bothell Way Ne
City
Bothell
State
Washington
Zip
98011-1981
Phone Number
425-424-3730
Fax Number
425-424-2371
person
Provider Business Mailing Address Details
Address
18920 Bothell Way Ne
City
Bothell
State
Washington
Zip
98011-1981
Phone Number
425-424-3730
Fax Number
425-424-2371
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA60163284 (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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