MEDICARE: LORI-ANNE TROTTER 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
1	225700000X	Massage Therapist	61188111	WA

General Provider Information

NPI Number	:	1063186419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI-ANNE TROTTER LMT

Provider Business Mailing Address
First Line	:	4020 NORTHWEST AVE APT 102
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-9088
Country	:	US
Telephone Number	:	916-217-6039
Fax Number	:	360-647-1542

Provider Business Practice Location Address
First Line	:	4202 MERIDIAN ST STE 209
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-5544
Country	:	US
Telephone Number	:	916-217-6039
Fax Number	:

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

Provider Enumeration Date	:	08/08/2021
Last Update Date	:	04/04/2023

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