person
Mr. Jahja Djajaputra, LMT
Massage Therapist in Lake Stevens, Washington
NPI 1649877481

Jahja Djajaputra is a Massage Therapist based in Everett, WA. Jahja Djajaputra practices in Lake Stevens, WA and has the professional credentials of LMT. The NPI Number for Jahja Djajaputra is 1649877481 and holds a License No. MA61098412 (Washington).

The current practice location address for Jahja Djajaputra is 9633 Market Pl Unit 103, Lake Stevens, WA and can be reached out via phone at 425-335-0300 and via fax at 425-335-0302.

Location: 9633 Market Pl Unit 103, Lake Stevens, WA, 98204-6655
person
Provider Profile Details
NPI Number
1649877481
Provider Name
Jahja Djajaputra
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
9633 Market Pl Unit 103, Lake Stevens, WA, 98204-6655
Phone Number
425-335-0300
Fax Number
425-335-0302
Provider Enumeration Date
10/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA61098412 01 WA LMT
institution
Provider Business Practice Location Address Details
Address
9633 Market Pl Unit 103
City
State
Zip
98258-7944
Phone Number
425-335-0300
Fax Number
425-335-0302
person
Provider Business Mailing Address Details
Address
9633 Market Pl Unit 103
City
State
Zip
98258-7944
Phone Number
425-335-0300
Fax Number
425-335-0302
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA61098412 (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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