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Elijah Reuben Roque, LMP
Massage Therapist in Lynnwood, Washington
NPI 1447620026

Elijah Reuben Roque is a Massage Therapist based in Lynnwood, WA. Elijah Reuben Roque practices in Lynnwood, WA and has the professional credentials of LMP. The NPI Number for Elijah Reuben Roque is 1447620026 and holds a License No. MA6059228 (Washington).

The current practice location address for Elijah Reuben Roque is 19220 74Th Ave W, Lynnwood, WA and can be reached out via phone at 425-314-9901.

Location: 19220 74Th Ave W, Lynnwood, WA, 98036-5063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447620026
Provider Name
Elijah Reuben Roque
Credential
LMP
Provider Entity Type
Individual
Gender
Male
Address
19220 74Th Ave W, Lynnwood, WA, 98036-5063
Phone Number
425-314-9901
Fax Number
Provider Enumeration Date
09/25/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19220 74Th Ave W
City
Lynnwood
State
Washington
Zip
98036-5063
Phone Number
425-314-9901
Fax Number
person
Provider Business Mailing Address Details
Address
19220 74Th Ave W
City
Lynnwood
State
Washington
Zip
98036-5063
Phone Number
425-314-9901
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA6059228 (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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