Linda Phimmavong, LMP
Massage Therapist in Lakewood, WA. Individual provider (NPI-1).
NPI number1124493440
StatusActive
Last updated in NPPESDec 11, 2015
Details
- NPI
- 1124493440
- Entity type
- Individual (NPI-1)
- Name
- Linda Phimmavong
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2015
- Last updated
- Dec 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60590721 | WA | Yes |
Practice location
7308 Bridgeport Way WSte. 103
Lakewood, WA 98499-8000
Phone 253-582-8142 · Fax 253-582-8160
Mailing address
4040 Orchard St WSte. 100
Fircrest, WA 98466-6606
Phone 253-564-1560 · Fax 253-564-4449
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