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General NPI Number Information
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NPI Number | 1528996238
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Entity Type | Organization
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Legal Business Name | MASH THERAPY PLLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 9902 270TH ST NW STE A
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City | STANWOOD
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State | WA
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Zip | 98292-8091
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Country | US
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Telephone | 269-680-1869
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Fax | 564-204-1107
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Provider Business Mailing Address
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Address Line | 71 STILLAGUAMISH AVE
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City | CAMANO ISLAND
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State | WA
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Zip | 98282-8782
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Country | US
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Telephone | 269-680-1869
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Fax | 564-204-1107
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Authorized Official
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Title or Position | MASSAGE THERAPIST/ OWNER
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Name | TIMOTHY KATHOL
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Credential | LMT
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Telephone | 269-680-1869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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