Mary Jeanette Borgstrom, LMP RBT
Individual provider Active NPI Massage Therapist · Snohomish, WA
NPI 1487870697 · NPPES record last updated Aug 29, 2007
Key facts
- NPI
- 1487870697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 14602 Ok Mill Rd
Snohomish, WA 98290-5651 - Phone
- (425) 231-6915
- NPI assigned
- Apr 17, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 601404185 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WA | Yes |
Addresses
Primary practice location
14602 Ok Mill Rd
Snohomish, WA 98290-5651
Mailing address
14602 Ok Mill Rd
Snohomish, WA 98290-5651
Phone (425) 231-6915
Other providers in Snohomish, WA
- Olga Blyshchyk
- Kyaw Thu Bo
- Katherine Boisseranc
- Cherokee Dawn Boman
- Annalise Boon
- Marilyn Costas Borromeo-Wesner
- Stacy Marie Bowker
- Jessica Aimee Bowman
- Ashley Alisa Bradshaw
- Althea Lynn Brandis
All providers in Snohomish, 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 Aug 29, 2007. 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.