MEDICARE: MARQUESA RAQUEL NEWMAN 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
1	225700000X	Massage Therapist	MA00025027	WA

General Provider Information

NPI Number	:	1679745053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARQUESA RAQUEL NEWMAN LMP

Provider Business Mailing Address
First Line	:	2442 NW MARKET ST
Second Line	:	SUITE 237
City	:	SEATTLE
State	:	WA
Zip	:	98107-4137
Country	:	US
Telephone Number	:	206-861-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	2442 NW MARKET ST
Second Line	:	SUITE 237
City	:	SEATTLE
State	:	WA
Zip	:	98107-4137
Country	:	US
Telephone Number	:	206-861-3727
Fax Number	:

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

Provider Enumeration Date	:	03/26/2008
Last Update Date	:	06/24/2016

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