Michelle Amalie Escue, LMP

Individual provider Active NPI Massage Therapist · Snoqualmie, WA

NPI 1629708672 · NPPES record last updated Jun 13, 2022

Key facts

NPI
1629708672
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA61292809 (WA)
Practice address
8103 Falls Ave SE
Snoqualmie, WA 98065-5169
Phone
(425) 208-5048
Fax
(425) 292-0253
NPI assigned
Jun 13, 2022
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
MA61292809WAMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61292809 WA Yes

Addresses

Primary practice location

8103 Falls Ave SE
Snoqualmie, WA 98065-5169

Mailing address

PO Box 34
North Bend, WA 98045-0034
Phone (425) 208-5048

Other identifiers

IdentifierTypeStateIssuer
MA61292809OtherWAMASSAGE LISCENSE

Other names

  • Ms. Michelle Amalie Brooks-Escue Former name

Other providers in Snoqualmie, WA

All providers in Snoqualmie, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.