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Jessica Marie Fodge, LMT
Massage Therapist in Othello, Washington
NPI 1891836946

Jessica Marie Fodge is a Massage Therapist based in Othello, WA. Jessica Marie Fodge practices in Othello, WA and has the professional credentials of LMT. The NPI Number for Jessica Marie Fodge is 1891836946 and holds a License No. MA00011423 (Washington).

The current practice location address for Jessica Marie Fodge is 752 S Sunset Acres Rd, Othello, WA and can be reached out via phone at 509-989-2707.

Location: 752 S Sunset Acres Rd, Othello, WA, 99344-1921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891836946
Provider Name
Jessica Marie Fodge
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
752 S Sunset Acres Rd, Othello, WA, 99344-1921
Phone Number
509-989-2707
Fax Number
Provider Enumeration Date
02/10/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
752 S Sunset Acres Rd
City
Othello
State
Washington
Zip
99344-9545
Phone Number
509-989-2707
Fax Number
person
Provider Business Mailing Address Details
Address
752 S Sunset Acres Rd
City
Othello
State
Washington
Zip
99344-9545
Phone Number
509-989-2707
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00011423 (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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