Jacob Lund is a Massage Therapist based in Lynnwood, WA. Jacob Lund practices in Lynnwood, WA. The NPI Number for Jacob Lund is 1487292595 and holds a License No. MA61018836 (Washington).
The current practice location address for Jacob Lund is 2902 164Th St Sw Ste D1, Lynnwood, WA and can be reached out via phone at 425-745-2500.
Location: 2902 164Th St Sw Ste D1, Lynnwood, WA, 98087-3201
Provider Profile Details
NPI Number
1487292595
Provider Name
Jacob Lund
Credential
Provider Entity Type
Individual
Gender
Male
Address
2902 164Th St Sw Ste D1, Lynnwood, WA, 98087-3201
Phone Number
425-745-2500
Fax Number
Provider Enumeration Date
12/19/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA61018836 | 01 | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Provider Business Practice Location Address Details
Address
2902 164Th St Sw Ste D1
City
State
Zip
98087-3201
Phone Number
425-745-2500
Fax Number
Provider Business Mailing Address Details
Address
2902 164Th St Sw Ste D1
City
State
Zip
98087-3201
Phone Number
425-745-2500
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA61018836 (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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