person
Mrs. Jessica D Sundahl, LMP
Massage Therapist in Puyallup, Washington
NPI 1730238528

Jessica D Sundahl is a Massage Therapist based in Tacoma, WA. Jessica D Sundahl practices in Puyallup, WA and has the professional credentials of LMP. The NPI Number for Jessica D Sundahl is 1730238528 and holds a License No. MA00016460 (Washington).

The current practice location address for Jessica D Sundahl is 4111 S Meridian, Puyallup, WA and can be reached out via phone at 253-905-5214 and via fax at 253-503-6146.

Location: 4111 S Meridian, Puyallup, WA, 98446-5428
person
Provider Profile Details
NPI Number
1730238528
Provider Name
Jessica D Sundahl
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
4111 S Meridian, Puyallup, WA, 98446-5428
Phone Number
253-905-5214
Fax Number
253-503-6146
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0158989 01 WA LABOR AND INDUSTRIES
6021925760010001 01 WA UBI BUSINESS
MA00016460 01 WA LICENSE FOR MASSAGE
4342TI 01 WA REGENCECARE ID NUMBER
254423100000 01 WA PREMERA PROVIDER NUMBER
0007827360 01 WA AETNA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
4111 S Meridian
City
State
Zip
98373-5973
Phone Number
253-905-5214
Fax Number
253-503-6146
person
Provider Business Mailing Address Details
Address
4111 S Meridian
City
State
Zip
98373-5973
Phone Number
253-905-5214
Fax Number
253-503-6146
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00016460 (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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