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NPI Code Detail

MEDICARE: JEAN R CHRISTENSEN LMP

MEDICARE: JEAN R CHRISTENSEN LMP
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 TherapistMA00020050WA

General Provider Information

NPI Number : 1245693233
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN R CHRISTENSEN LMP
Provider Business Mailing Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 360-739-6639
Fax Number :
Provider Business Practice Location Address
First Line : 303 VERA ST
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-5251
Country : US
Telephone Number : 360-739-6639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2016
Last Update Date : 03/29/2016

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Directions to “ JEAN R CHRISTENSEN LMP” Practice Location

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