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Jebediah I Sides, LMT
Massage Therapist in Vancouver, Washington
NPI 1619738804

Jebediah I Sides is a Massage Therapist based in Vancouver, WA. Jebediah I Sides practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Jebediah I Sides is 1619738804 and holds a License No. 61512969 (Washington).

The current practice location address for Jebediah I Sides is 11500 Ne 119Th St Ste 104, Vancouver, WA and can be reached out via phone at 360-326-3396 and via fax at 360-369-0015.

Location: 11500 Ne 119Th St Ste 104, Vancouver, WA, 98665-9380
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619738804
Provider Name
Jebediah I Sides
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
11500 Ne 119Th St Ste 104, Vancouver, WA, 98665-9380
Phone Number
360-326-3396
Fax Number
360-369-0015
Provider Enumeration Date
01/16/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11500 Ne 119Th St Ste 104
City
Vancouver
State
Washington
Zip
98662-1643
Phone Number
360-326-3396
Fax Number
360-369-0015
person
Provider Business Mailing Address Details
Address
11500 Ne 119Th St Ste 104
City
Vancouver
State
Washington
Zip
98662-1643
Phone Number
360-326-3396
Fax Number
360-369-0015
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61512969 (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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