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NPI Code Detail

MEDICARE: STEPHANIE JOY LEVINE LMP

MEDICARE: STEPHANIE JOY LEVINE 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 Therapist00007011WA

General Provider Information

NPI Number : 1407145238
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE JOY LEVINE LMP
Provider Business Mailing Address
First Line : 4860 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-6305
Country : US
Telephone Number : 206-940-9386
Fax Number :
Provider Business Practice Location Address
First Line : 4860 RAINIER AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98118-6305
Country : US
Telephone Number : 206-940-9386
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 04/01/2011

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Directions to “ STEPHANIE JOY LEVINE LMP” Practice Location

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