Cody J Taylor, LMT

Individual provider Active NPI Massage Therapist · Union, WA

NPI 1851891402 · NPPES record last updated Feb 20, 2018

Key facts

NPI
1851891402
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
40 E Heavenly LN
Union, WA 98592-9548
Phone
(360) 463-8205
NPI assigned
Feb 20, 2018
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X WA Yes

Addresses

Primary practice location

40 E Heavenly LN
Union, WA 98592-9548

Mailing address

40 E Heavenly LN
Union, WA 98592-9548
Phone (360) 463-8205

Other providers in Union, WA

All providers in Union, WA · Massage Therapist in Washington

Sources for this page

Verify at the official NPI Registry.