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Clyde O Mcdade, LMT
Massage Therapist in Lakewood, Washington
NPI 1982680815

Clyde O Mcdade is a Massage Therapist based in Lakewood, WA. Clyde O Mcdade practices in Lakewood, WA and has the professional credentials of LMT. The NPI Number for Clyde O Mcdade is 1982680815 and holds a License No. MA00010222 (Washington).

The current practice location address for Clyde O Mcdade is 11008 Gravelly Lake Dr Sw, Lakewood, WA and can be reached out via phone at 360-763-9439 and via fax at 360-767-3087.

Location: 11008 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982680815
Provider Name
Clyde O Mcdade
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
11008 Gravelly Lake Dr Sw, Lakewood, WA, 98499-1332
Phone Number
360-763-9439
Fax Number
360-767-3087
Provider Enumeration Date
12/22/2005
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
11008 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1332
Phone Number
360-763-9439
Fax Number
360-767-3087
person
Provider Business Mailing Address Details
Address
11008 Gravelly Lake Dr Sw
City
Lakewood
State
Washington
Zip
98499-1332
Phone Number
360-763-9439
Fax Number
360-767-3087
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00010222 (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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