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NPI Code Detail

MEDICARE: STEPHANIE BARNETTE LMT

MEDICARE: STEPHANIE BARNETTE 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 TherapistMA60668404WA

General Provider Information

NPI Number : 1366916918
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BARNETTE LMT
Provider Business Mailing Address
First Line : 100 MELROSE AVE E APT 1121
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5564
Country : US
Telephone Number : 206-300-4277
Fax Number :
Provider Business Practice Location Address
First Line : 160 ROY ST
Second Line :
City : SEATTLE
State : WA
Zip : 98109-4162
Country : US
Telephone Number : 206-453-4137
Fax Number : 206-267-0814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2019
Last Update Date : 01/16/2019

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Directions to “ STEPHANIE BARNETTE LMT” Practice Location

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