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NPI Code Detail

MEDICARE: BRIANNA MICHELLE PITSCH LMT

MEDICARE: BRIANNA MICHELLE PITSCH 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 TherapistMA60944174WA

General Provider Information

NPI Number : 1508326406
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA MICHELLE PITSCH LMT
Provider Business Mailing Address
First Line : 13338 10TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98125-3914
Country : US
Telephone Number : 360-566-5472
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 : 425-686-8264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2019
Last Update Date : 03/25/2019

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Directions to “ BRIANNA MICHELLE PITSCH LMT” Practice Location

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