MEDICARE: ODIA FRANKS

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	MA60579174	WA

General Provider Information

NPI Number	:	1104293240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ODIA FRANKS

Provider Business Mailing Address
First Line	:	6504 OLYMPIC DR
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98203-4642
Country	:	US
Telephone Number	:	360-961-4659
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 N OLYMPIC AVE
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1244
Country	:	US
Telephone Number	:	360-435-9200
Fax Number	:

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

Provider Enumeration Date	:	08/24/2015
Last Update Date	:	08/24/2015

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Directions to “ ODIA FRANKS ” Practice Location

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