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Alicia Katherine Jacoby, LMP
Massage Therapist in Vancouver, Washington
NPI 1508814187

Alicia Katherine Jacoby is a Massage Therapist based in Vancouver, WA. Alicia Katherine Jacoby practices in Vancouver, WA and has the professional credentials of LMP. The NPI Number for Alicia Katherine Jacoby is 1508814187 and holds a License No. MA00016071 (Washington).

The current practice location address for Alicia Katherine Jacoby is 1612 Ne 78Th St, Vancouver, WA and can be reached out via phone at 360-573-3223 and via fax at 360-573-3224.

Location: 1612 Ne 78Th St, Vancouver, WA, 98665
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508814187
Provider Name
Alicia Katherine Jacoby
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1612 Ne 78Th St, Vancouver, WA, 98665
Phone Number
360-573-3223
Fax Number
360-573-3224
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1612 Ne 78Th St
City
Vancouver
State
Washington
Zip
98665
Phone Number
360-573-3223
Fax Number
360-573-3224
person
Provider Business Mailing Address Details
Address
1612 Ne 78Th St
City
Vancouver
State
Washington
Zip
98665
Phone Number
360-573-3223
Fax Number
360-573-3224
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00016071 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00016071 (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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