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Ms. Lisa Fanning, LMP
Massage Therapist in Lynnwood, Washington
NPI 1831241074

Lisa Fanning is a Massage Therapist based in Lynnwood, WA. Lisa Fanning practices in Lynnwood, WA and has the professional credentials of LMP. The NPI Number for Lisa Fanning is 1831241074 and holds a License No. MA6551 (Washington).

The current practice location address for Lisa Fanning is 6101 200Th St Sw, Lynnwood, WA and can be reached out via phone at 425-774-6402 and via fax at 425-774-6402.

Location: 6101 200Th St Sw, Lynnwood, WA, 98036-6077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831241074
Provider Name
Lisa Fanning
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
6101 200Th St Sw, Lynnwood, WA, 98036-6077
Phone Number
425-774-6402
Fax Number
425-774-6402
Provider Enumeration Date
01/17/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FL9495 01 WA REGENCE PLANS
institution
Provider Business Practice Location Address Details
Address
6101 200Th St Sw
City
Lynnwood
State
Washington
Zip
98036-6077
Phone Number
425-774-6402
Fax Number
425-774-6402
person
Provider Business Mailing Address Details
Address
6101 200Th St Sw
City
Lynnwood
State
Washington
Zip
98036-6077
Phone Number
425-774-6402
Fax Number
425-774-6402
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA6551 (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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