Lisa Fanning, LMP Valid NPI
Individual provider · Massage Therapist · Lynnwood, WA
- NPI
- 1831241074
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MA6551 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-01-17
- Last updated
- 2007-07-08
Practice location
6101 200th St Sw, #206
Lynnwood, WA 98036-6077
(425) 774-6402