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NPI Code Detail

MEDICARE: WESLEY PATTERSON LMT

MEDICARE: WESLEY PATTERSON LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA61521890WA

General Provider Information

NPI Number : 1154180479
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY PATTERSON LMT
Provider Business Mailing Address
First Line : 1914 N 34TH ST STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98103-9089
Country : US
Telephone Number : 252-224-7468
Fax Number :
Provider Business Practice Location Address
First Line : 1914 N 34TH ST STE 201
Second Line :
City : SEATTLE
State : WA
Zip : 98103-9089
Country : US
Telephone Number : 425-224-7468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 06/04/2025

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Directions to “ WESLEY PATTERSON LMT” Practice Location

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