Lisa A Erdahl, LMP
Massage Therapist in Renton, WA. Individual provider (NPI-1).
NPI number1467562017
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1467562017
- Entity type
- Individual (NPI-1)
- Name
- Lisa A Erdahl
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00006093 | WA | Yes |
Practice location
263 Ranier Ave S#208
Renton, WA 98055
Phone 425-271-2626
Mailing address
263 Ranier Ave S#208
Renton, WA 98055
Phone 425-271-2626
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