Miranda Dedrick, LMT
Massage Therapist in Kent, WA. Individual provider (NPI-1).
NPI number1982245791
StatusActive
Last updated in NPPESOct 2, 2019
Details
- NPI
- 1982245791
- Entity type
- Individual (NPI-1)
- Name
- Miranda Dedrick
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Last updated
- Oct 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA60667932 | WA | Yes |
Practice location
24612 104th Ave SeKent, WA 98030-4965
Phone 253-520-2529
Mailing address
1926 McHugh AveEnumclaw, WA 98022-3355
Phone 253-409-8550
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All 208 Massage Therapist providers in Kent · All 3,224 providers in Kent
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