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NPI Code Detail

MEDICARE: MONICA COULTER LMP

MEDICARE:   MONICA  COULTER  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 TherapistMA 60271006WA

General Provider Information

NPI Number : 1750703807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA COULTER LMP
Provider Business Mailing Address
First Line : 3701 S HUDSON ST APT 307
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2162
Country : US
Telephone Number : 206-898-3369
Fax Number :
Provider Business Practice Location Address
First Line : 3701 S HUDSON ST APT 307
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2162
Country : US
Telephone Number : 206-898-3369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2014
Last Update Date : 01/08/2014

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Directions to “ MONICA COULTER LMP” Practice Location

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