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NPI Code Detail

MEDICARE: MRS. MICHELLE RENE FERRARO LMT

MEDICARE:  MRS. MICHELLE RENE FERRARO  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
1174400000XSpecialistMA00010347WA

General Provider Information

NPI Number : 1659777068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE RENE FERRARO LMT
Provider Business Mailing Address
First Line : 7142 FERTILE VALLEY RD
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9586
Country : US
Telephone Number : 509-550-2046
Fax Number :
Provider Business Practice Location Address
First Line : 7142 FERTILE VALLEY RD
Second Line :
City : NEWPORT
State : WA
Zip : 99156-9586
Country : US
Telephone Number : 509-550-2046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2014
Last Update Date : 11/12/2014

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Directions to “ MRS. MICHELLE RENE FERRARO LMT” Practice Location

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