Stephen Edmunds, LMP
Individual provider Active NPI Massage Therapist · Snoqualmie, WA
NPI 1457772204 · NPPES record last updated Dec 20, 2013
Key facts
- NPI
- 1457772204
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA00008520 (WA)
- Practice address
- 7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748 - Phone
- (425) 396-0613
- Fax
- (425) 396-0614
- NPI assigned
- Dec 20, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00008520 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Green, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00008520 | WA | Yes |
Addresses
Primary practice location
7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748
Mailing address
7726 Center Blvd SE
Suite 125
Snoqualmie, WA 98065-8748
Phone (425) 396-0613
Other providers in Snoqualmie, WA
- Cindy Ducar
- Darshana Dudgikar
- Michele Marie Dunlap
- Ron E Bennett
- Echo Glen Childrens Center
- Elevating Expression Speech and Language PLLC
- Elite Physical Therapy
- Kelsey Ann McFarland Ellis
- Benjamin Thomas Elsbrock
- Emerald Homecare
All providers in Snoqualmie, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.