Jodi Janette Casad, LMP

Individual provider Active NPI Massage Therapist · Covington, WA

NPI 1295041150 · NPPES record last updated Aug 28, 2010

Key facts

NPI
1295041150
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA00009204 (WA)
Practice address
17407 SE Wax Rd
Covington, WA 98042-9126
Phone
(253) 630-9423
NPI assigned
Aug 28, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA00009204WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00009204 WA Yes

Addresses

Primary practice location

17407 SE Wax Rd
Covington, WA 98042-9126

Mailing address

18503 SE 330TH St
Auburn, WA 98092-9112
Phone (253) 632-4910

Other names

  • Miss Jodi Janette Wetmore Former name

Other providers in Covington, WA

All providers in Covington, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.