Amy L Bader, LMT

Individual provider Active NPI Massage Therapist · Snohomish, WA

NPI 1306336896 · NPPES record last updated May 10, 2018

Key facts

NPI
1306336896
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA60692358 (WA)
Practice address
18122 Sr 9 SE
Suite D
Snohomish, WA 98296
Phone
(425) 244-0628
NPI assigned
May 10, 2018
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
MA60692358WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60692358 WA Yes

Addresses

Primary practice location

18122 Sr 9 SE
Suite D
Snohomish, WA 98296

Mailing address

4903 112TH St. SE
Everett, WA 98208
Phone (425) 244-0628

Other names

  • Ms. Amy L Ruppert Former name

Other providers in Snohomish, WA

All providers in Snohomish, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.