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NPI Code Detail

MEDICARE: MS. KATHY LUND LMP

MEDICARE: MS. KATHY LUND 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 TherapistMA60268549WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA60268549OTHERWALICENSED MASSAGE PRACTITIONER

General Provider Information

NPI Number : 1518224690
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHY LUND LMP
Provider Business Mailing Address
First Line : PO BOX 1150
Second Line :
City : YELM
State : WA
Zip : 98597-1150
Country : US
Telephone Number : 360-480-9505
Fax Number :
Provider Business Practice Location Address
First Line : 503 1ST ST S
Second Line :
City : YELM
State : WA
Zip : 98597-7634
Country : US
Telephone Number : 360-480-9505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 11/13/2013

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Directions to “ MS. KATHY LUND LMP” Practice Location

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