Healthcare Provider Details

I. General information

NPI: 1932020500
Provider Name (Legal Business Name): ABIGAIL JEAN LUND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3424 78TH AVE SE
OLYMPIA WA
98501-9403
US

IV. Provider business mailing address

3424 78TH AVE SE
OLYMPIA WA
98501-9403
US

V. Phone/Fax

Practice location:
  • Phone: 360-489-4213
  • Fax: 360-489-4213
Mailing address:
  • Phone: 360-489-4213
  • Fax: 360-489-4213

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMASS.MA.70146305
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: