MEDICARE: MATTHEW KRAFT 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
1	225700000X	Massage Therapist	70103578	WA

General Provider Information

NPI Number	:	1568301174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW KRAFT LMT

Provider Business Mailing Address
First Line	:	910 W COMSTOCK CT
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-1408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 W SUMMIT PKWY
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-7033
Country	:	US
Telephone Number	:	509-579-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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