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NPI Code Detail

MEDICARE: MS. MELANY RAE VORASS LMP

MEDICARE:  MS. MELANY RAE VORASS  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 TherapistMA00024948WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA00024948OTHERWASTATE OF WASHINGTON DEPARTMENT OF LICENSING

General Provider Information

NPI Number : 1457502163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELANY RAE VORASS LMP
Provider Business Mailing Address
First Line : 2312 N 59TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-5731
Country : US
Telephone Number : 206-491-4565
Fax Number :
Provider Business Practice Location Address
First Line : 2312 N 59TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-5731
Country : US
Telephone Number : 206-491-4565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2008
Last Update Date : 10/01/2008

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Directions to “ MS. MELANY RAE VORASS LMP” Practice Location

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