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Julie A Bautista, LMP

Massage Therapist in Lynnwood, WA. Individual provider (NPI-1).

NPI number1982964623
StatusActive
Last updated in NPPESDec 9, 2021

Details

NPI
1982964623
Entity type
Individual (NPI-1)
Name
Julie A Bautista
Credential
LMP
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2012
Certification date
Dec 4, 2021
Last updated
Dec 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA00007223WAYes

Practice location

19721 Scriber Lake Rd
Lynnwood, WA 98036-6119

Phone 425-775-3544 · Fax 425-670-6502

Mailing address

8909 238th St Sw Apt 1
Edmonds, WA 98026-8993

Phone 425-967-2067

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