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Laci Berg, LMP
Massage Therapist in Bellevue, Washington
NPI 1497747083

Laci Berg is a Massage Therapist based in Puyallup, WA. Laci Berg practices in Bellevue, WA and has the professional credentials of LMP. The NPI Number for Laci Berg is 1497747083 and holds a License No. MA00017583 (Washington).

The current practice location address for Laci Berg is 606 120Th Ave Ne Ste D100, Bellevue, WA and can be reached out via phone at 425-688-0223 and via fax at 425-688-0323.

Location: 606 120Th Ave Ne Ste D100, Bellevue, WA, 98373-0060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497747083
Provider Name
Laci Berg
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
606 120Th Ave Ne Ste D100, Bellevue, WA, 98373-0060
Phone Number
425-688-0223
Fax Number
425-688-0323
Provider Enumeration Date
08/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0378345 01 WA DEPT OF L&I
institution
Provider Business Practice Location Address Details
Address
606 120Th Ave Ne Ste D100
City
Bellevue
State
Washington
Zip
98005
Phone Number
425-688-0223
Fax Number
425-688-0323
person
Provider Business Mailing Address Details
Address
606 120Th Ave Ne Ste D100
City
Bellevue
State
Washington
Zip
98005
Phone Number
425-688-0223
Fax Number
425-688-0323
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00017583 (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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