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NPI Code Detail

MEDICARE: ROTHAANNE LINDBERG LMP

MEDICARE:   ROTHAANNE  LINDBERG  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 TherapistMA60728689WA

General Provider Information

NPI Number : 1538609680
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROTHAANNE LINDBERG LMP
Provider Business Mailing Address
First Line : 3715 56TH ST NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98335-8240
Country : US
Telephone Number : 253-851-5138
Fax Number : 253-853-4972
Provider Business Practice Location Address
First Line : 3715 56TH ST NW
Second Line :
City : GIG HARBOR
State : WA
Zip : 98335-8240
Country : US
Telephone Number : 253-851-5138
Fax Number : 253-853-4972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2017
Last Update Date : 03/07/2017

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Directions to “ ROTHAANNE LINDBERG LMP” Practice Location

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